Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.96 / $355.80 / $4,933.00	Facility		$202.96	$355.80	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.85 / $242.49 / $355.80	Professional		$150.85	$242.49	$355.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.20 / $235.80 / $536.32	Facility		$165.20	$235.80	$536.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.65 / $196.01 / $281.76	Professional		$41.65	$196.01	$281.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.24 / $237.69 / $465.64	Professional		$156.24	$237.69	$465.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $202.96 / $342.63 / $4,933.00	Facility		$202.96	$342.63	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $202.96 / $264.57 / $398.97	Professional		$202.96	$264.57	$398.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $217.42 / $271.47 / $385.14	Professional		$217.42	$271.47	$385.14
United Facility/Professional Facility Modifier Low / Median / High Price $208.18 / $1,386.00 / $2,029.00	Facility		$208.18	$1,386.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.67 / $286.70 / $383.62	Professional		$240.67	$286.70	$383.62