Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.47 / $4,933.00 / $4,933.00	Facility		$279.47	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.15 / $279.47 / $1,376.18	Professional		$218.15	$279.47	$1,376.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.31 / $204.18 / $275.25	Facility		$174.31	$204.18	$275.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.44 / $238.74 / $408.54	Professional		$62.44	$238.74	$408.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.80 / $280.39 / $360.77	Professional		$195.80	$280.39	$360.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $252.84 / $4,933.00 / $4,933.00	Facility		$252.84	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $252.84 / $279.47 / $389.69	Professional		$252.84	$279.47	$389.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,327.00	Facility		$1,906.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.81 / $309.33 / $452.76	Professional		$186.81	$309.33	$452.76