Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.14 / $2,056.00 / $4,933.00	Facility		$124.14	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.24 / $124.14 / $157.85	Professional		$98.24	$124.14	$157.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.49 / $96.63 / $137.71	Facility		$82.49	$96.63	$137.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $137.19 / $240.95	Professional		$24.55	$137.19	$240.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.47 / $133.06 / $203.42	Professional		$90.47	$133.06	$203.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $124.79 / $2,056.00 / $4,933.00	Facility		$124.79	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $124.14 / $124.79 / $185.01	Professional		$124.14	$124.79	$185.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.81 / $136.69 / $195.77	Professional		$109.81	$136.69	$195.77
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,205.00 / $1,844.00	Facility		$300.00	$1,205.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $139.99 / $166.56 / $240.75	Professional		$139.99	$166.56	$240.75