Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.29 / $348.00 / $4,933.00	Facility		$126.29	$348.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.67 / $209.71 / $454.10	Professional		$90.67	$209.71	$454.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.37 / $376.89 / $510.63	Facility		$323.37	$376.89	$510.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $158.86 / $249.23	Professional		$27.00	$158.86	$249.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.31 / $244.29 / $524.29	Professional		$104.31	$244.29	$524.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $126.29 / $256.77 / $4,933.00	Facility		$126.29	$256.77	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $137.09 / $254.00 / $572.16	Professional		$137.09	$254.00	$572.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $272.03 / $340.15 / $486.93	Professional		$272.03	$340.15	$486.93
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 $250.64 / $347.90 / $504.73	Professional		$250.64	$347.90	$504.73