Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.20 / $2,056.00 / $4,933.00	Facility		$222.20	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $197.77 / $255.75	Professional		$160.13	$197.77	$255.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.08 / $217.14 / $305.51	Facility		$184.08	$217.14	$305.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.39 / $272.89 / $450.26	Professional		$46.39	$272.89	$450.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.63 / $220.15 / $425.07	Professional		$136.63	$220.15	$425.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $199.59 / $2,056.00 / $4,933.00	Facility		$199.59	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $185.35 / $222.20 / $304.82	Professional		$185.35	$222.20	$304.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $162.92 / $246.46	Professional		$30.69	$162.92	$246.46
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 $199.59 / $231.60 / $311.69	Professional		$199.59	$231.60	$311.69