Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.51 / $4,112.00 / $4,933.00	Facility		$253.51	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.49 / $253.51 / $263.26	Professional		$197.49	$253.51	$263.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.61 / $49.61 / $49.61	Facility		$49.61	$49.61	$49.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $291.81 / $393.94	Professional		$49.61	$291.81	$393.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.38 / $268.83 / $428.51	Professional		$140.38	$268.83	$428.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $245.04 / $4,112.00 / $4,933.00	Facility		$245.04	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $221.23 / $245.04 / $335.37	Professional		$221.23	$245.04	$335.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.41 / $171.56 / $244.48	Professional		$137.41	$171.56	$244.48
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,849.00 / $9,202.00	Facility		$3,296.00	$7,849.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.92 / $286.64 / $426.28	Professional		$239.92	$286.64	$426.28