Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.16 / $2,056.00 / $4,933.00	Facility		$213.16	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.65 / $213.16 / $241.66	Professional		$157.65	$213.16	$241.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.40 / $163.82 / $240.85	Facility		$140.40	$163.82	$240.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $250.98 / $432.95	Professional		$42.66	$250.98	$432.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.32 / $226.56 / $352.06	Professional		$157.32	$226.56	$352.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $193.04 / $2,056.00 / $4,933.00	Facility		$193.04	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $193.04 / $213.16 / $298.95	Professional		$193.04	$213.16	$298.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.81 / $176.01 / $254.80	Professional		$119.81	$176.01	$254.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,605.67 / $5,574.00 / $8,339.00	Facility		$1,605.67	$5,574.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.73 / $243.33 / $330.00	Professional		$203.73	$243.33	$330.00