Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.68 / $2,056.00 / $4,933.00	Facility		$252.68	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.78 / $263.20 / $318.77	Professional		$197.78	$263.20	$318.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $348.66 / $406.99 / $554.42	Facility		$348.66	$406.99	$554.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.82 / $219.48 / $351.18	Professional		$55.82	$219.48	$351.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.52 / $267.68 / $427.22	Professional		$194.52	$267.68	$427.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $238.78 / $2,056.00 / $4,933.00	Facility		$238.78	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $238.78 / $263.20 / $394.62	Professional		$238.78	$263.20	$394.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $218.36 / $276.43 / $398.03	Professional		$218.36	$276.43	$398.03
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,247.00 / $1,844.00	Facility		$464.00	$1,247.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $269.22 / $321.95 / $411.30	Professional		$269.22	$321.95	$411.30