Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.56 / $2,056.00 / $4,933.00	Facility		$170.56	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.10 / $170.56 / $215.11	Professional		$125.10	$170.56	$215.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $373.70 / $552.51 / $740.63	Facility		$373.70	$552.51	$740.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.88 / $204.67 / $341.48	Professional		$38.88	$204.67	$341.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.19 / $181.01 / $353.68	Professional		$130.19	$181.01	$353.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $166.56 / $2,056.00 / $4,933.00	Facility		$166.56	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $156.15 / $170.56 / $257.97	Professional		$156.15	$170.56	$257.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.34 / $153.95 / $227.37	Professional		$116.34	$153.95	$227.37
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,438.00 / $1,844.00	Facility		$300.00	$1,438.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.47 / $216.11 / $274.29	Professional		$169.47	$216.11	$274.29