Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.77 / $2,056.00 / $4,933.00	Facility		$147.77	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.48 / $147.77 / $153.46	Professional		$96.48	$147.77	$153.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $470.49 / $548.37 / $742.96	Facility		$470.49	$548.37	$742.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $165.96 / $265.52	Professional		$30.53	$165.96	$265.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.63 / $142.26 / $218.26	Professional		$100.63	$142.26	$218.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $109.22 / $2,056.00 / $4,933.00	Facility		$109.22	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $109.22 / $126.69 / $215.37	Professional		$109.22	$126.69	$215.37
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 $773.00 / $3,005.00 / $4,504.00	Facility		$773.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.23 / $140.75 / $188.76	Professional		$112.23	$140.75	$188.76