Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.14 / $2,056.00 / $4,933.00	Facility		$126.14	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.40 / $176.24 / $265.80	Professional		$96.40	$176.24	$265.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.40 / $271.14 / $374.35	Facility		$183.40	$271.14	$374.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.81 / $145.91 / $167.80	Professional		$24.81	$145.91	$167.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.04 / $217.22 / $402.91	Professional		$105.04	$217.22	$402.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $202.23 / $2,056.00 / $4,933.00	Facility		$202.23	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $126.14 / $202.23 / $315.68	Professional		$126.14	$202.23	$315.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.31 / $203.09 / $291.99	Professional		$163.31	$203.09	$291.99
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 $216.50 / $274.35 / $402.60	Professional		$216.50	$274.35	$402.60