Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.27 / $4,933.00 / $4,933.00	Facility		$214.27	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.85 / $214.27 / $222.20	Professional		$157.85	$214.27	$222.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $770.00 / $897.47 / $1,215.93	Facility		$770.00	$897.47	$1,215.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.37 / $234.05 / $468.10	Professional		$41.37	$234.05	$468.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.54 / $234.69 / $291.88	Professional		$141.54	$234.69	$291.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $187.44 / $4,933.00 / $4,933.00	Facility		$187.44	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $182.83 / $187.44 / $245.79	Professional		$182.83	$187.44	$245.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.70 / $174.72 / $254.37	Professional		$138.70	$174.72	$254.37
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.86 / $241.70 / $320.14	Professional		$190.86	$241.70	$320.14