Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.33 / $2,056.00 / $4,933.00	Facility		$464.33	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.82 / $464.33 / $520.95	Professional		$326.82	$464.33	$520.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.67 / $298.05 / $419.33	Facility		$252.67	$298.05	$419.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.93 / $649.99 / $943.02	Professional		$99.93	$649.99	$943.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.27 / $417.69 / $773.49	Professional		$293.27	$417.69	$773.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $377.18 / $2,056.00 / $4,933.00	Facility		$377.18	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $377.18 / $441.30 / $612.11	Professional		$377.18	$441.30	$612.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $290.46 / $488.03	Professional		$33.96	$290.46	$488.03
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 $365.87 / $441.78 / $618.28	Professional		$365.87	$441.78	$618.28