Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.45 / $593.89 / $4,933.00	Facility		$178.45	$593.89	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.40 / $178.45 / $222.59	Professional		$139.40	$178.45	$222.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.19 / $156.58 / $211.01	Facility		$134.19	$156.58	$211.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.24 / $138.24 / $252.78	Professional		$37.24	$138.24	$252.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.74 / $189.32 / $288.05	Professional		$131.74	$189.32	$288.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $177.03 / $593.89 / $4,933.00	Facility		$177.03	$593.89	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $177.03 / $180.75 / $317.31	Professional		$177.03	$180.75	$317.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.71 / $205.04 / $293.66	Professional		$164.71	$205.04	$293.66
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 $190.91 / $226.91 / $299.43	Professional		$190.91	$226.91	$299.43