Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.98 / $2,056.00 / $4,933.00	Facility		$213.98	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.59 / $212.19 / $213.98	Professional		$153.59	$212.19	$213.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $256.89 / $296.52 / $403.95	Facility		$256.89	$296.52	$403.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $70.19 / $295.79	Professional		$42.95	$70.19	$295.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.16 / $188.37 / $349.35	Professional		$159.16	$188.37	$349.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $200.38 / $2,056.00 / $4,933.00	Facility		$200.38	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $200.38 / $205.43 / $279.69	Professional		$200.38	$205.43	$279.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.98 / $174.12 / $251.60	Professional		$135.98	$174.12	$251.60
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,428.00 / $2,029.00	Facility		$464.00	$1,428.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.54 / $226.17 / $303.04	Professional		$199.54	$226.17	$303.04