Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.29 / $4,933.00 / $4,933.00	Facility		$219.29	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $194.18 / $219.29	Professional		$149.69	$194.18	$219.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $619.79 / $916.36 / $1,265.11	Facility		$619.79	$916.36	$1,265.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.93 / $165.69 / $290.35	Professional		$42.93	$165.69	$290.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.46 / $211.97 / $413.85	Professional		$165.46	$211.97	$413.85
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $175.55 / $4,933.00 / $4,933.00	Facility		$175.55	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $170.73 / $186.99 / $269.89	Professional		$170.73	$186.99	$269.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.93 / $173.60 / $250.21	Professional		$135.93	$173.60	$250.21
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 $179.16 / $226.04 / $286.99	Professional		$179.16	$226.04	$286.99