Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.36 / $2,877.00 / $7,133.32	Facility		$170.36	$2,877.00	$7,133.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.68 / $194.00 / $271.50	Professional		$125.68	$194.00	$271.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.18 / $301.41 / $416.13	Facility		$204.18	$301.41	$416.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.45 / $191.66 / $234.81	Professional		$36.45	$191.66	$234.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.46 / $215.39 / $444.67	Professional		$140.46	$215.39	$444.67
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $173.42 / $2,877.00 / $4,933.00	Facility		$173.42	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $144.40 / $216.89 / $334.18	Professional		$144.40	$216.89	$334.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.13 / $205.46 / $296.28	Professional		$151.13	$205.46	$296.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $4,941.00 / $7,383.09	Facility		$1,527.00	$4,941.00	$7,383.09
United Facility/Professional Professional Modifier Low / Median / High Price $211.82 / $272.95 / $358.02	Professional		$211.82	$272.95	$358.02