Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.58 / $2,709.02 / $4,933.00	Facility		$139.58	$2,709.02	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.95 / $154.93 / $234.30	Professional		$102.95	$154.93	$234.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.34 / $228.20 / $315.05	Facility		$154.34	$228.20	$315.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.36 / $108.43 / $186.84	Professional		$28.36	$108.43	$186.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.90 / $173.02 / $372.44	Professional		$114.90	$173.02	$372.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $172.60 / $2,709.02 / $4,933.00	Facility		$172.60	$2,709.02	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $130.38 / $178.06 / $275.89	Professional		$130.38	$178.06	$275.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.34 / $153.84 / $227.02	Professional		$116.34	$153.84	$227.02
United Facility/Professional Facility Modifier Low / Median / High Price $558.00 / $3,569.00 / $6,036.00	Facility		$558.00	$3,569.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.98 / $221.31 / $291.60	Professional		$175.98	$221.31	$291.60