Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.92 / $2,877.00 / $4,933.00	Facility		$176.92	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.28 / $184.22 / $271.76	Professional		$145.28	$184.22	$271.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.40 / $183.21 / $246.98	Facility		$156.40	$183.21	$246.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.09 / $134.66 / $245.93	Professional		$39.09	$134.66	$245.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.27 / $203.11 / $310.31	Professional		$144.27	$203.11	$310.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $206.32 / $2,877.00 / $4,933.00	Facility		$206.32	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $176.92 / $221.06 / $328.78	Professional		$176.92	$221.06	$328.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $187.43 / $242.09 / $350.65	Professional		$187.43	$242.09	$350.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,819.00 / $8,339.00	Facility		$2,524.00	$5,819.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.76 / $266.33 / $334.29	Professional		$212.76	$266.33	$334.29