Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.32 / $2,877.00 / $4,933.00	Facility		$205.32	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.40 / $340.01 / $465.38	Professional		$165.40	$340.01	$465.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $439.03 / $511.71 / $693.28	Facility		$439.03	$511.71	$693.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.07 / $158.16 / $268.08	Professional		$45.07	$158.16	$268.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.30 / $328.73 / $584.98	Professional		$165.30	$328.73	$584.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $383.87 / $2,877.00 / $4,933.00	Facility		$383.87	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $205.32 / $383.87 / $574.51	Professional		$205.32	$383.87	$574.51
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 $1,362.00 / $3,324.00 / $5,421.70	Facility		$1,362.00	$3,324.00	$5,421.70
United Facility/Professional Professional Modifier Low / Median / High Price $406.37 / $524.36 / $926.77	Professional		$406.37	$524.36	$926.77