Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $4,001.25 / $6,385.72	Facility		$128.69	$4,001.25	$6,385.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.03 / $116.39 / $291.62	Professional		$100.03	$116.39	$291.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.83 / $153.97 / $209.75	Facility		$132.83	$153.97	$209.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.63 / $99.97 / $167.22	Professional		$27.63	$99.97	$167.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.59 / $148.91 / $230.76	Professional		$90.59	$148.91	$230.76
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $124.77 / $4,562.60 / $5,078.18	Facility		$124.77	$4,562.60	$5,078.18
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $101.42 / $116.39 / $294.14	Professional		$101.42	$116.39	$294.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $102.86 / $147.35	Professional		$82.40	$102.86	$147.35
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,428.00 / $2,029.00	Facility		$464.00	$1,428.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.93 / $163.58 / $208.93	Professional		$125.93	$163.58	$208.93