Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.64 / $2,056.00 / $4,933.00	Facility		$181.64	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.71 / $205.89 / $290.39	Professional		$138.71	$205.89	$290.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.69 / $321.85 / $444.35	Facility		$217.69	$321.85	$444.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $146.79 / $234.85	Professional		$40.11	$146.79	$234.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.38 / $232.98 / $477.31	Professional		$148.38	$232.98	$477.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $237.75 / $2,056.00 / $4,933.00	Facility		$237.75	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $181.64 / $237.75 / $349.12	Professional		$181.64	$237.75	$349.12
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 $1,050.00 / $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 $241.56 / $305.43 / $392.83	Professional		$241.56	$305.43	$392.83