Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.44 / $273.64 / $4,933.00	Facility		$152.44	$273.64	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.15 / $169.30 / $273.64	Professional		$116.15	$169.30	$273.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $214.85 / $317.66 / $425.82	Facility		$214.85	$317.66	$425.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.83 / $184.25 / $307.41	Professional		$33.83	$184.25	$307.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.31 / $209.43 / $434.96	Professional		$128.31	$209.43	$434.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $152.44 / $2,056.00 / $4,933.00	Facility		$152.44	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $152.44 / $209.91 / $330.08	Professional		$152.44	$209.91	$330.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.56 / $186.90 / $274.91	Professional		$144.56	$186.90	$274.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $4,857.00 / $6,036.00	Facility		$1,050.00	$4,857.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.69 / $272.02 / $351.84	Professional		$212.69	$272.02	$351.84