Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.42 / $461.97 / $4,933.00	Facility		$253.42	$461.97	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.57 / $263.17 / $461.97	Professional		$185.57	$263.17	$461.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.53 / $275.56 / $630.98	Facility		$192.53	$275.56	$630.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.64 / $288.58 / $410.09	Professional		$51.64	$288.58	$410.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.03 / $286.18 / $577.73	Professional		$179.03	$286.18	$577.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $253.42 / $444.86 / $4,933.00	Facility		$253.42	$444.86	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $263.17 / $345.06 / $497.71	Professional		$263.17	$345.06	$497.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $292.92 / $373.38 / $533.44	Professional		$292.92	$373.38	$533.44
United Facility/Professional Facility Modifier Low / Median / High Price $193.60 / $1,155.00 / $1,844.00	Facility		$193.60	$1,155.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $265.61 / $360.65 / $481.65	Professional		$265.61	$360.65	$481.65