Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.30 / $4,933.00 / $4,933.00	Facility		$251.30	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.28 / $251.30 / $548.57	Professional		$196.28	$251.30	$548.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.09 / $202.05 / $275.25	Facility		$173.09	$202.05	$275.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.75 / $135.08 / $240.40	Professional		$36.75	$135.08	$240.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.09 / $256.91 / $324.76	Professional		$176.09	$256.91	$324.76
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $148.77 / $4,933.00 / $4,933.00	Facility		$148.77	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $148.77 / $171.08 / $251.30	Professional		$148.77	$171.08	$251.30
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 $166.76 / $211.48 / $286.80	Professional		$166.76	$211.48	$286.80