Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.75 / $409.85 / $4,933.00	Facility		$237.75	$409.85	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.55 / $246.90 / $409.85	Professional		$172.55	$246.90	$409.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.95 / $321.50 / $736.18	Facility		$225.95	$321.50	$736.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $206.17 / $387.23	Professional		$48.76	$206.17	$387.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.59 / $276.55 / $545.23	Professional		$179.59	$276.55	$545.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $237.75 / $394.67 / $4,933.00	Facility		$237.75	$394.67	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $246.90 / $314.99 / $447.63	Professional		$246.90	$314.99	$447.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $266.11 / $339.80 / $487.18	Professional		$266.11	$339.80	$487.18
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 $272.41 / $327.79 / $426.71	Professional		$272.41	$327.79	$426.71