Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.44 / $4,933.00 / $4,933.00	Facility		$283.44	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.92 / $283.44 / $285.82	Professional		$184.92	$283.44	$285.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $352.58 / $406.99 / $554.42	Facility		$352.58	$406.99	$554.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.70 / $83.39 / $374.90	Professional		$60.70	$83.39	$374.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.40 / $265.93 / $467.08	Professional		$209.40	$265.93	$467.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $214.08 / $4,933.00 / $4,933.00	Facility		$214.08	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $214.08 / $260.00 / $373.60	Professional		$214.08	$260.00	$373.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $191.62 / $242.09 / $349.05	Professional		$191.62	$242.09	$349.05
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 $247.78 / $288.47 / $372.13	Professional		$247.78	$288.47	$372.13