Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.09 / $2,056.00 / $4,933.00	Facility		$155.09	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.56 / $203.86 / $349.85	Professional		$120.56	$203.86	$349.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $298.41 / $348.34 / $474.53	Facility		$298.41	$348.34	$474.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.20 / $185.25 / $319.56	Professional		$35.20	$185.25	$319.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.67 / $187.13 / $380.17	Professional		$124.67	$187.13	$380.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $232.82 / $2,056.00 / $4,933.00	Facility		$232.82	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $155.09 / $232.82 / $395.86	Professional		$155.09	$232.82	$395.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $192.79 / $293.64	Professional		$30.79	$192.79	$293.64
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,428.00 / $2,029.00	Facility		$464.00	$1,428.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.98 / $279.41 / $387.47	Professional		$219.98	$279.41	$387.47