Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.50 / $2,056.00 / $4,933.00	Facility		$161.50	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.65 / $164.61 / $256.22	Professional		$123.65	$164.61	$256.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $247.00 / $365.19 / $504.18	Facility		$247.00	$365.19	$504.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $181.61 / $218.76	Professional		$33.96	$181.61	$218.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.38 / $199.18 / $415.91	Professional		$133.38	$199.18	$415.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $164.40 / $2,056.00 / $4,933.00	Facility		$164.40	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $137.78 / $187.83 / $293.16	Professional		$137.78	$187.83	$293.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.67 / $172.96 / $254.49	Professional		$116.67	$172.96	$254.49
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 $192.55 / $245.16 / $332.61	Professional		$192.55	$245.16	$332.61