Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.63 / $2,056.00 / $4,933.00	Facility		$164.63	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.19 / $187.15 / $287.04	Professional		$127.19	$187.15	$287.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.26 / $304.95 / $408.78	Facility		$206.26	$304.95	$408.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $156.16 / $253.77	Professional		$33.18	$156.16	$253.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.75 / $215.37 / $452.81	Professional		$128.75	$215.37	$452.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $216.30 / $2,056.00 / $4,933.00	Facility		$216.30	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $140.30 / $216.30 / $337.72	Professional		$140.30	$216.30	$337.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.05 / $183.68 / $282.62	Professional		$32.05	$183.68	$282.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,569.00 / $6,036.00	Facility		$1,050.00	$3,569.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $215.65 / $277.07 / $363.20	Professional		$215.65	$277.07	$363.20