Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.30 / $2,056.00 / $4,933.00	Facility		$119.30	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.93 / $232.20 / $343.27	Professional		$98.93	$232.20	$343.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.35 / $22.35 / $26.29	Facility		$22.35	$22.35	$26.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $131.47 / $146.22	Professional		$24.98	$131.47	$146.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $178.64 / $457.42	Professional		$92.76	$178.64	$457.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $265.62 / $2,056.00 / $4,933.00	Facility		$265.62	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $122.71 / $265.62 / $349.36	Professional		$122.71	$265.62	$349.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $193.64 / $239.28 / $343.26	Professional		$193.64	$239.28	$343.26
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 $310.83 / $372.99 / $475.23	Professional		$310.83	$372.99	$475.23