Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.87 / $2,056.00 / $4,933.00	Facility		$198.87	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.99 / $187.61 / $206.52	Professional		$139.99	$187.61	$206.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $392.23 / $457.85 / $623.72	Facility		$392.23	$457.85	$623.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.46 / $163.05 / $260.88	Professional		$41.46	$163.05	$260.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.47 / $191.27 / $315.69	Professional		$111.47	$191.27	$315.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $162.10 / $2,056.00 / $4,933.00	Facility		$162.10	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $160.86 / $176.88 / $273.45	Professional		$160.86	$176.88	$273.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.30 / $171.18 / $245.14	Professional		$137.30	$171.18	$245.14
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 $165.55 / $194.74 / $285.18	Professional		$165.55	$194.74	$285.18