Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.70 / $374.04 / $4,933.00	Facility		$211.70	$374.04	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.31 / $219.84 / $374.04	Professional		$154.31	$219.84	$374.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.46 / $133.66 / $304.00	Facility		$93.46	$133.66	$304.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.56 / $175.98 / $345.56	Professional		$46.56	$175.98	$345.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $266.24 / $486.53	Professional		$160.94	$266.24	$486.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $211.70 / $360.19 / $4,933.00	Facility		$211.70	$360.19	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $219.84 / $292.25 / $426.06	Professional		$219.84	$292.25	$426.06
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 $259.82 / $308.22 / $400.44	Professional		$259.82	$308.22	$400.44