Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.30 / $2,877.00 / $4,933.00	Facility		$208.30	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.08 / $326.74 / $474.38	Professional		$165.08	$326.74	$474.38
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 $43.49 / $255.84 / $442.80	Professional		$43.49	$255.84	$442.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.07 / $334.71 / $606.02	Professional		$168.07	$334.71	$606.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $382.27 / $2,877.00 / $4,933.00	Facility		$382.27	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $208.30 / $382.27 / $564.89	Professional		$208.30	$382.27	$564.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $272.49 / $340.62 / $487.77	Professional		$272.49	$340.62	$487.77
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 $358.95 / $511.13 / $663.54	Professional		$358.95	$511.13	$663.54