Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.86 / $2,056.00 / $4,933.00	Facility		$117.86	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.98 / $124.31 / $186.19	Professional		$82.98	$124.31	$186.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $584.04 / $824.28 / $1,945.77	Facility		$584.04	$824.28	$1,945.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $28.91 / $136.47	Professional		$22.97	$28.91	$136.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.73 / $154.85 / $251.47	Professional		$91.73	$154.85	$251.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $145.40 / $2,056.00 / $4,933.00	Facility		$145.40	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $117.86 / $145.40 / $190.66	Professional		$117.86	$145.40	$190.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.46 / $136.88 / $196.66	Professional		$111.46	$136.88	$196.66
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 $168.08 / $200.75 / $258.49	Professional		$168.08	$200.75	$258.49