Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.06 / $2,056.00 / $4,933.00	Facility		$168.06	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.84 / $149.34 / $174.28	Professional		$120.84	$149.34	$174.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.24 / $110.20 / $196.71	Facility		$55.24	$110.20	$196.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.41 / $121.23 / $206.92	Professional		$31.41	$121.23	$206.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.64 / $163.34 / $362.74	Professional		$121.64	$163.34	$362.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $116.39 / $2,056.00 / $4,933.00	Facility		$116.39	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $116.39 / $139.72 / $185.89	Professional		$116.39	$139.72	$185.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.72 / $138.07 / $200.99	Professional		$107.72	$138.07	$200.99
United Facility/Professional Facility Modifier Low / Median / High Price $717.00 / $1,438.00 / $2,029.00	Facility		$717.00	$1,438.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.83 / $159.68 / $215.51	Professional		$122.83	$159.68	$215.51