Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.86 / $482.22 / $4,933.00	Facility		$243.86	$482.22	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.40 / $243.86 / $382.72	Professional		$166.40	$243.86	$382.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $335.39 / $402.48 / $542.58	Facility		$335.39	$402.48	$542.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $275.81 / $484.40	Professional		$55.16	$275.81	$484.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.37 / $276.66 / $622.89	Professional		$160.37	$276.66	$622.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $241.82 / $1,017.19 / $4,933.00	Facility		$241.82	$1,017.19	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $213.06 / $271.32 / $418.03	Professional		$213.06	$271.32	$418.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.05 / $246.31 / $375.19	Professional		$32.05	$246.31	$375.19
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 $249.12 / $335.46 / $481.85	Professional		$249.12	$335.46	$481.85