Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.52 / $2,056.00 / $4,933.00	Facility		$203.52	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.11 / $226.94 / $326.38	Professional		$154.11	$226.94	$326.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $286.80 / $336.62 / $456.06	Facility		$286.80	$336.62	$456.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.65 / $232.76 / $393.24	Professional		$41.65	$232.76	$393.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.88 / $257.33 / $438.31	Professional		$162.88	$257.33	$438.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $252.94 / $2,056.00 / $4,933.00	Facility		$252.94	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $191.93 / $252.94 / $368.84	Professional		$191.93	$252.94	$368.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $192.46 / $289.27	Professional		$30.69	$192.46	$289.27
United Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $2,800.00 / $4,560.77	Facility		$649.00	$2,800.00	$4,560.77
United Facility/Professional Professional Modifier Low / Median / High Price $239.98 / $293.82 / $404.48	Professional		$239.98	$293.82	$404.48