Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.56 / $4,933.00 / $4,933.00	Facility		$164.56	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.14 / $164.56 / $170.88	Professional		$111.14	$164.56	$170.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $612.73 / $714.16 / $967.57	Facility		$612.73	$714.16	$967.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $177.23 / $548.99	Professional		$35.46	$177.23	$548.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.06 / $153.32 / $242.26	Professional		$110.06	$153.32	$242.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $140.63 / $4,933.00 / $4,933.00	Facility		$140.63	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $140.63 / $144.90 / $227.85	Professional		$140.63	$144.90	$227.85
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 $1,906.00 / $4,645.00 / $6,327.00	Facility		$1,906.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.46 / $160.00 / $221.44	Professional		$145.46	$160.00	$221.44