Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.72 / $2,056.00 / $4,933.00	Facility		$154.72	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.12 / $186.71 / $269.51	Professional		$121.12	$186.71	$269.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.02 / $314.04 / $427.82	Facility		$269.02	$314.04	$427.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.95 / $155.87 / $221.70	Professional		$36.95	$155.87	$221.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.27 / $169.11 / $327.52	Professional		$111.27	$169.11	$327.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $206.46 / $2,845.91 / $4,933.00	Facility		$206.46	$2,845.91	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $146.22 / $206.46 / $326.50	Professional		$146.22	$206.46	$326.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.99 / $187.72 / $275.41	Professional		$145.99	$187.72	$275.41
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 $218.70 / $270.58 / $347.04	Professional		$218.70	$270.58	$347.04