Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.13 / $2,056.00 / $4,933.00	Facility		$206.13	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.13 / $241.57 / $318.89	Professional		$165.13	$241.57	$318.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $375.46 / $438.28 / $597.04	Facility		$375.46	$438.28	$597.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.08 / $154.69 / $264.70	Professional		$42.08	$154.69	$264.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.22 / $227.49 / $388.92	Professional		$159.22	$227.49	$388.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $266.04 / $2,056.00 / $4,933.00	Facility		$266.04	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $206.13 / $266.04 / $395.83	Professional		$206.13	$266.04	$395.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $192.79 / $293.64	Professional		$30.79	$192.79	$293.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $3,260.00 / $6,327.00	Facility		$1,527.00	$3,260.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $276.33 / $335.77 / $428.45	Professional		$276.33	$335.77	$428.45