Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.78 / $2,877.00 / $4,933.00	Facility		$170.78	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.52 / $177.35 / $275.29	Professional		$131.52	$177.35	$275.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.45 / $231.20 / $314.95	Facility		$199.45	$231.20	$314.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $125.43 / $260.89	Professional		$37.95	$125.43	$260.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.82 / $201.93 / $315.64	Professional		$131.82	$201.93	$315.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $215.95 / $2,877.00 / $4,933.00	Facility		$215.95	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $177.35 / $215.95 / $350.82	Professional		$177.35	$215.95	$350.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.59 / $204.94 / $292.83	Professional		$163.59	$204.94	$292.83
United Facility/Professional Facility Modifier Low / Median / High Price $250.38 / $1,205.00 / $1,844.00	Facility		$250.38	$1,205.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.83 / $257.97 / $359.35	Professional		$212.83	$257.97	$359.35