Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.92 / $2,056.00 / $4,933.00	Facility		$173.92	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.06 / $206.35 / $312.82	Professional		$127.06	$206.35	$312.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.99 / $310.48 / $428.64	Facility		$209.99	$310.48	$428.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $156.86 / $282.35	Professional		$35.56	$156.86	$282.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.46 / $240.91 / $488.55	Professional		$137.46	$240.91	$488.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $236.33 / $2,056.00 / $4,933.00	Facility		$236.33	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $153.44 / $236.33 / $367.61	Professional		$153.44	$236.33	$367.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $192.13 / $291.26	Professional		$30.56	$192.13	$291.26
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 $232.11 / $299.31 / $396.01	Professional		$232.11	$299.31	$396.01