Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.19 / $2,877.00 / $4,933.00	Facility		$171.19	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.55 / $207.28 / $359.48	Professional		$136.55	$207.28	$359.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $490.31 / $572.34 / $779.68	Facility		$490.31	$572.34	$779.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.03 / $131.38 / $222.67	Professional		$34.03	$131.38	$222.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.31 / $232.55 / $404.16	Professional		$135.31	$232.55	$404.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $245.58 / $2,877.00 / $4,933.00	Facility		$245.58	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $177.77 / $245.58 / $410.98	Professional		$177.77	$245.58	$410.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $217.81 / $272.90 / $390.38	Professional		$217.81	$272.90	$390.38
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 $255.36 / $321.99 / $465.73	Professional		$255.36	$321.99	$465.73