Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.67 / $2,056.00 / $4,933.00	Facility		$228.67	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.34 / $228.67 / $329.80	Professional		$163.34	$228.67	$329.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $373.70 / $552.51 / $762.80	Facility		$373.70	$552.51	$762.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.14 / $271.39 / $455.96	Professional		$46.14	$271.39	$455.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.55 / $260.52 / $537.54	Professional		$183.55	$260.52	$537.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $256.52 / $2,056.00 / $4,933.00	Facility		$256.52	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $213.69 / $256.52 / $379.49	Professional		$213.69	$256.52	$379.49
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 $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 $260.13 / $328.99 / $422.10	Professional		$260.13	$328.99	$422.10