Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.83 / $4,933.00 / $4,933.00	Facility		$145.83	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.92 / $129.19 / $145.83	Professional		$99.92	$129.19	$145.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $520.32 / $617.82 / $848.56	Facility		$520.32	$617.82	$848.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $109.80 / $187.40	Professional		$28.44	$109.80	$187.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.86 / $141.22 / $271.83	Professional		$109.86	$141.22	$271.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $117.92 / $4,933.00 / $4,933.00	Facility		$117.92	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $113.06 / $123.83 / $179.33	Professional		$113.06	$123.83	$179.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.55 / $138.75 / $201.33	Professional		$107.55	$138.75	$201.33
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $4,645.00 / $6,036.00	Facility		$850.00	$4,645.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.44 / $150.43 / $222.36	Professional		$118.44	$150.43	$222.36