Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.43 / $2,056.00 / $4,933.00	Facility		$134.43	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $222.59 / $368.41	Professional		$104.73	$222.59	$368.41
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 $29.43 / $154.87 / $243.93	Professional		$29.43	$154.87	$243.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.53 / $212.88 / $425.84	Professional		$103.53	$212.88	$425.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $271.39 / $2,056.00 / $4,933.00	Facility		$271.39	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $139.60 / $271.39 / $462.77	Professional		$139.60	$271.39	$462.77
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 $300.00 / $1,209.00 / $1,844.00	Facility		$300.00	$1,209.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $284.85 / $338.64 / $483.84	Professional		$284.85	$338.64	$483.84