Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.39 / $524.19 / $4,933.00	Facility		$196.39	$524.19	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.15 / $234.56 / $416.03	Professional		$131.15	$234.56	$416.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $479.69 / $559.95 / $762.80	Facility		$479.69	$559.95	$762.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.44 / $237.38 / $457.81	Professional		$38.44	$237.38	$457.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.10 / $223.13 / $478.64	Professional		$124.10	$223.13	$478.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $247.45 / $2,877.00 / $4,933.00	Facility		$247.45	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $181.52 / $272.58 / $427.36	Professional		$181.52	$272.58	$427.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $247.57 / $376.47	Professional		$32.28	$247.57	$376.47
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 $256.43 / $339.48 / $481.58	Professional		$256.43	$339.48	$481.58