Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.91 / $2,056.00 / $4,933.00	Facility		$63.91	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.50 / $113.60 / $157.01	Professional		$46.50	$113.60	$157.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $492.97 / $581.50 / $818.13	Facility		$492.97	$581.50	$818.13
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $283.89 / $403.14 / $510.41	Facility	50	$283.89	$403.14	$510.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $71.92 / $124.91	Professional		$12.87	$71.92	$124.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.08 / $85.08 / $85.08	Facility		$85.08	$85.08	$85.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.74 / $109.52 / $273.99	Professional		$48.74	$109.52	$273.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $125.14 / $2,056.00 / $4,933.00	Facility		$125.14	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $63.91 / $125.14 / $203.21	Professional		$63.91	$125.14	$203.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.54 / $131.84 / $186.37	Professional		$107.54	$131.84	$186.37
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,438.00 / $2,029.00	Facility		$464.00	$1,438.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $158.94 / $285.39	Professional		$120.54	$158.94	$285.39