Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.54 / $2,056.00 / $4,933.00	Facility		$128.54	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.11 / $141.75 / $215.59	Professional		$97.11	$141.75	$215.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $528.71 / $767.39 / $1,844.81	Facility		$528.71	$767.39	$1,844.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.06 / $121.61 / $169.51	Professional		$27.06	$121.61	$169.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.70 / $147.46 / $279.58	Professional		$87.70	$147.46	$279.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $163.43 / $2,056.00 / $4,933.00	Facility		$163.43	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $133.49 / $163.43 / $242.84	Professional		$133.49	$163.43	$242.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.48 / $170.21 / $241.06	Professional		$136.48	$170.21	$241.06
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.87 / $204.09 / $268.16	Professional		$165.87	$204.09	$268.16