Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.37 / $2,056.00 / $4,933.00	Facility		$200.37	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $208.07 / $322.68	Professional		$152.63	$208.07	$322.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.37 / $234.22 / $536.32	Facility		$160.37	$234.22	$536.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $166.39 / $258.95	Professional		$41.14	$166.39	$258.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.31 / $241.58 / $436.07	Professional		$154.31	$241.58	$436.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $243.18 / $2,056.00 / $4,933.00	Facility		$243.18	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $208.07 / $259.88 / $375.56	Professional		$208.07	$259.88	$375.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.53 / $236.99 / $335.79	Professional		$190.53	$236.99	$335.79
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 $231.81 / $284.57 / $403.53	Professional		$231.81	$284.57	$403.53