Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.43 / $2,056.00 / $4,933.00	Facility		$146.43	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.77 / $146.43 / $146.43	Professional		$108.77	$146.43	$146.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $595.51 / $695.14 / $946.97	Facility		$595.51	$695.14	$946.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.13 / $179.87 / $334.05	Professional		$29.13	$179.87	$334.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.71 / $134.49 / $238.54	Professional		$106.71	$134.49	$238.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $117.91 / $2,056.00 / $4,933.00	Facility		$117.91	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $117.91 / $128.66 / $186.10	Professional		$117.91	$128.66	$186.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $102.86 / $147.35	Professional		$82.26	$102.86	$147.35
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,504.00	Facility		$773.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.78 / $155.94 / $201.18	Professional		$129.78	$155.94	$201.18