Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.97 / $232.28 / $4,933.00	Facility		$141.97	$232.28	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.04 / $156.03 / $232.28	Professional		$111.04	$156.03	$232.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $317.06 / $370.10 / $504.18	Facility		$317.06	$370.10	$504.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $117.32 / $223.46	Professional		$33.79	$117.32	$223.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.70 / $170.39 / $300.52	Professional		$102.70	$170.39	$300.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $216.44 / $232.28 / $4,933.00	Facility		$216.44	$232.28	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $141.97 / $216.44 / $309.72	Professional		$141.97	$216.44	$309.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.01 / $170.07 / $243.46	Professional		$136.01	$170.07	$243.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $4,857.00 / $6,327.00	Facility		$1,527.00	$4,857.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $216.49 / $274.04 / $339.28	Professional		$216.49	$274.04	$339.28