Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.45 / $389.57 / $4,933.00	Facility		$231.45	$389.57	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.31 / $231.45 / $389.57	Professional		$117.31	$231.45	$389.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.99 / $267.61 / $360.75	Facility		$222.99	$267.61	$360.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.69 / $180.94 / $309.63	Professional		$49.69	$180.94	$309.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.59 / $256.64 / $607.49	Professional		$136.59	$256.64	$607.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $230.19 / $389.57 / $4,933.00	Facility		$230.19	$389.57	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $181.63 / $234.53 / $408.00	Professional		$181.63	$234.53	$408.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $229.93 / $365.80	Professional		$30.56	$229.93	$365.80
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.82 / $308.20 / $491.22	Professional		$228.82	$308.20	$491.22