Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.13 / $2,056.00 / $4,933.00	Facility		$168.13	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.24 / $148.90 / $168.13	Professional		$119.24	$148.90	$168.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.82 / $715.77 / $983.09	Facility		$602.82	$715.77	$983.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.93 / $134.66 / $207.27	Professional		$32.93	$134.66	$207.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.98 / $179.42 / $333.40	Professional		$126.98	$179.42	$333.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $137.43 / $2,056.00 / $4,933.00	Facility		$137.43	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $130.96 / $143.43 / $209.68	Professional		$130.96	$143.43	$209.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $138.75 / $201.33	Professional		$107.71	$138.75	$201.33
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 $137.16 / $179.58 / $255.60	Professional		$137.16	$179.58	$255.60