Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.91 / $2,056.00 / $4,933.00	Facility		$115.91	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.55 / $134.33 / $210.22	Professional		$87.55	$134.33	$210.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.37 / $211.98 / $284.14	Facility		$143.37	$211.98	$284.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $96.60 / $154.54	Professional		$24.56	$96.60	$154.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.58 / $149.93 / $325.02	Professional		$93.58	$149.93	$325.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $149.16 / $2,056.00 / $4,933.00	Facility		$149.16	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $109.49 / $152.15 / $232.15	Professional		$109.49	$152.15	$232.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.99 / $153.84 / $227.02	Professional		$115.99	$153.84	$227.02
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.88 / $193.55 / $261.58	Professional		$151.88	$193.55	$261.58