Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.29 / $1,849.62 / $4,933.00	Facility		$205.29	$1,849.62	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.47 / $235.46 / $317.66	Professional		$160.47	$235.46	$317.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $324.91 / $385.79 / $529.88	Facility		$324.91	$385.79	$529.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.39 / $158.29 / $267.86	Professional		$41.39	$158.29	$267.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.96 / $261.98 / $531.38	Professional		$170.96	$261.98	$531.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $271.74 / $2,877.00 / $4,933.00	Facility		$271.74	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $172.99 / $271.74 / $419.31	Professional		$172.99	$271.74	$419.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $192.13 / $291.26	Professional		$30.56	$192.13	$291.26
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 $257.10 / $339.56 / $451.37	Professional		$257.10	$339.56	$451.37