Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.18 / $2,056.00 / $4,933.00	Facility		$115.18	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.21 / $136.50 / $189.02	Professional		$88.21	$136.50	$189.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $487.96 / $721.44 / $996.02	Facility		$487.96	$721.44	$996.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $92.44 / $166.20	Professional		$23.50	$92.44	$166.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.45 / $155.86 / $302.32	Professional		$96.45	$155.86	$302.32
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $146.76 / $2,056.00 / $4,933.00	Facility		$146.76	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $109.03 / $146.76 / $225.54	Professional		$109.03	$146.76	$225.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.20 / $135.89 / $195.48	Professional		$109.20	$135.89	$195.48
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 $149.40 / $200.02 / $281.07	Professional		$149.40	$200.02	$281.07