Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.04 / $2,056.00 / $4,933.00	Facility		$251.04	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.37 / $251.04 / $309.88	Professional		$172.37	$251.04	$309.88
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 $55.73 / $224.41 / $505.82	Professional		$55.73	$224.41	$505.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.29 / $238.72 / $431.70	Professional		$167.29	$238.72	$431.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $159.10 / $2,056.00 / $4,933.00	Facility		$159.10	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $159.10 / $248.21 / $343.47	Professional		$159.10	$248.21	$343.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $168.40 / $278.12	Professional		$30.69	$168.40	$278.12
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 $183.52 / $221.91 / $301.85	Professional		$183.52	$221.91	$301.85