Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.13 / $4,933.00 / $4,933.00	Facility		$134.13	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.65 / $134.13 / $135.26	Professional		$87.65	$134.13	$135.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.98 / $389.27 / $527.40	Facility		$333.98	$389.27	$527.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $44.21 / $186.11	Professional		$29.58	$44.21	$186.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.69 / $141.63 / $220.30	Professional		$98.69	$141.63	$220.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $98.22 / $4,933.00 / $4,933.00	Facility		$98.22	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $98.22 / $122.46 / $171.48	Professional		$98.22	$122.46	$171.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.32 / $138.98 / $201.65	Professional		$108.32	$138.98	$201.65
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 $115.44 / $139.44 / $179.81	Professional		$115.44	$139.44	$179.81