Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.62 / $2,056.00 / $4,933.00	Facility		$370.62	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.56 / $370.62 / $472.87	Professional		$276.56	$370.62	$472.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $405.24 / $470.35 / $637.24	Facility		$405.24	$470.35	$637.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.55 / $121.51 / $530.87	Professional		$74.55	$121.51	$530.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.27 / $406.18 / $615.80	Professional		$293.27	$406.18	$615.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $443.26 / $2,056.00 / $4,933.00	Facility		$443.26	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $370.62 / $443.26 / $589.40	Professional		$370.62	$443.26	$589.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $325.81 / $416.12 / $605.95	Professional		$325.81	$416.12	$605.95
United Facility/Professional Facility Modifier Low / Median / High Price $238.44 / $1,386.00 / $2,029.00	Facility		$238.44	$1,386.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $406.94 / $512.73 / $682.69	Professional		$406.94	$512.73	$682.69