Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.36 / $2,056.00 / $4,933.00	Facility		$159.36	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.38 / $159.36 / $159.36	Professional		$116.38	$159.36	$159.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $637.77 / $752.30 / $1,058.44	Facility		$637.77	$752.30	$1,058.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.51 / $125.50 / $212.70	Professional		$32.51	$125.50	$212.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.13 / $147.13 / $147.13	Facility		$147.13	$147.13	$147.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.14 / $159.19 / $341.07	Professional		$101.14	$159.19	$341.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $156.28 / $2,056.00 / $4,933.00	Facility		$156.28	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $156.28 / $225.86	Professional		$129.19	$156.28	$225.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.70 / $133.89 / $190.80	Professional		$109.70	$133.89	$190.80
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,438.00 / $2,029.00	Facility		$464.00	$1,438.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $163.66 / $226.92	Professional		$134.90	$163.66	$226.92