Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.59 / $381.19 / $4,933.00	Facility		$218.59	$381.19	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.59 / $226.99 / $381.19	Professional		$152.59	$226.99	$381.19
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 $45.12 / $184.53 / $318.52	Professional		$45.12	$184.53	$318.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.75 / $244.21 / $503.45	Professional		$166.75	$244.21	$503.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $218.59 / $367.08 / $4,933.00	Facility		$218.59	$367.08	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $226.99 / $284.48 / $447.26	Professional		$226.99	$284.48	$447.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $244.48 / $305.28 / $430.51	Professional		$244.48	$305.28	$430.51
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 $236.56 / $304.39 / $432.82	Professional		$236.56	$304.39	$432.82