Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.63 / $2,056.00 / $4,933.00	Facility		$85.63	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.06 / $110.38 / $182.69	Professional		$60.06	$110.38	$182.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.96 / $207.73 / $282.99	Facility		$177.96	$207.73	$282.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $87.40 / $163.13	Professional		$18.30	$87.40	$163.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $104.04 / $210.94	Professional		$65.84	$104.04	$210.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $142.18 / $2,331.34 / $4,933.00	Facility		$142.18	$2,331.34	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $73.59 / $142.18 / $230.18	Professional		$73.59	$142.18	$230.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $136.45 / $195.19	Professional		$108.90	$136.45	$195.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $4,857.00 / $6,327.00	Facility		$1,527.00	$4,857.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.16 / $172.19 / $233.84	Professional		$138.16	$172.19	$233.84