Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.63 / $2,056.00 / $4,933.00	Facility		$151.63	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.83 / $151.63 / $157.47	Professional		$106.83	$151.63	$157.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $639.49 / $746.47 / $1,016.90	Facility		$639.49	$746.47	$1,016.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.46 / $189.53 / $310.14	Professional		$30.46	$189.53	$310.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.26 / $153.75 / $238.77	Professional		$107.26	$153.75	$238.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $138.19 / $2,056.00 / $4,933.00	Facility		$138.19	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $130.51 / $138.19 / $201.22	Professional		$130.51	$138.19	$201.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $102.86 / $147.35	Professional		$82.26	$102.86	$147.35
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 $141.33 / $160.60 / $222.66	Professional		$141.33	$160.60	$222.66