Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.53 / $2,877.00 / $4,933.00	Facility		$123.53	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.53 / $174.93 / $280.35	Professional		$123.53	$174.93	$280.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $303.29 / $355.98 / $482.29	Facility		$303.29	$355.98	$482.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.38 / $143.41 / $247.40	Professional		$24.38	$143.41	$247.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.77 / $218.41 / $376.92	Professional		$95.77	$218.41	$376.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $214.23 / $2,877.00 / $4,933.00	Facility		$214.23	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $128.28 / $232.44 / $356.46	Professional		$128.28	$232.44	$356.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.48 / $170.21 / $241.06	Professional		$136.48	$170.21	$241.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,640.00 / $6,327.00	Facility		$1,050.00	$3,640.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $249.49 / $316.58 / $447.19	Professional		$249.49	$316.58	$447.19