Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.23 / $2,056.00 / $4,933.00	Facility		$65.23	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.58 / $122.12 / $274.45	Professional		$49.58	$122.12	$274.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $766.25 / $899.35 / $1,218.47	Facility		$766.25	$899.35	$1,218.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $72.86 / $120.78	Professional		$14.56	$72.86	$120.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.54 / $147.09 / $366.21	Professional		$49.54	$147.09	$366.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $160.77 / $2,056.00 / $4,933.00	Facility		$160.77	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $67.75 / $183.90 / $288.18	Professional		$67.75	$183.90	$288.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.82 / $202.90 / $290.75	Professional		$162.82	$202.90	$290.75
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.97 / $201.40 / $280.76	Professional		$170.97	$201.40	$280.76