Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.99 / $4,933.00 / $4,933.00	Facility		$239.99	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.47 / $239.99 / $242.00	Professional		$173.47	$239.99	$242.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $351.10 / $409.22 / $554.42	Facility		$351.10	$409.22	$554.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.05 / $175.40 / $334.01	Professional		$51.05	$175.40	$334.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.82 / $235.72 / $394.07	Professional		$179.82	$235.72	$394.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $222.97 / $4,933.00 / $4,933.00	Facility		$222.97	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $222.97 / $232.35 / $316.32	Professional		$222.97	$232.35	$316.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.87 / $208.32 / $303.36	Professional		$162.87	$208.32	$303.36
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 $233.04 / $258.75 / $340.61	Professional		$233.04	$258.75	$340.61