Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.39 / $2,056.00 / $4,933.00	Facility		$167.39	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.25 / $227.03 / $375.67	Professional		$129.25	$227.03	$375.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.20 / $197.20 / $197.20	Facility		$197.20	$197.20	$197.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $197.20 / $220.86	Professional		$33.52	$197.20	$220.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $294.60 / $602.04	Professional		$136.94	$294.60	$602.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $326.05 / $2,056.00 / $4,933.00	Facility		$326.05	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $167.39 / $326.05 / $426.78	Professional		$167.39	$326.05	$426.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.54 / $269.57 / $388.49	Professional		$216.54	$269.57	$388.49
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 $294.98 / $418.34 / $581.62	Professional		$294.98	$418.34	$581.62