Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.37 / $2,056.00 / $4,933.00	Facility		$224.37	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.74 / $200.28 / $237.18	Professional		$123.74	$200.28	$237.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.58 / $202.38 / $364.47	Facility		$101.58	$202.38	$364.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.24 / $147.54 / $276.39	Professional		$42.24	$147.54	$276.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $194.63 / $499.94	Professional		$126.00	$194.63	$499.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $107.45 / $2,056.00 / $4,933.00	Facility		$107.45	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $107.45 / $164.05 / $239.39	Professional		$107.45	$164.05	$239.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.25 / $169.60 / $243.83	Professional		$137.25	$169.60	$243.83
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,247.00 / $1,844.00	Facility		$464.00	$1,247.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.21 / $177.92 / $285.94	Professional		$136.21	$177.92	$285.94