Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.41 / $2,056.00 / $4,933.00	Facility		$133.41	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.86 / $139.87 / $184.79	Professional		$101.86	$139.87	$184.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.64 / $221.61 / $304.37	Facility		$186.64	$221.61	$304.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $109.25 / $180.02	Professional		$28.90	$109.25	$180.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.62 / $163.58 / $311.12	Professional		$108.62	$163.58	$311.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $157.25 / $2,056.00 / $4,933.00	Facility		$157.25	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $133.41 / $162.60 / $236.95	Professional		$133.41	$162.60	$236.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.09 / $119.79 / $174.27	Professional		$88.09	$119.79	$174.27
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,438.00 / $1,844.00	Facility		$300.00	$1,438.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.65 / $200.63 / $268.01	Professional		$155.65	$200.63	$268.01