Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.47 / $4,933.00 / $4,933.00	Facility		$270.47	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.59 / $235.55 / $280.88	Professional		$175.59	$235.55	$280.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $922.47 / $1,082.71 / $1,466.90	Facility		$922.47	$1,082.71	$1,466.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.32 / $237.32 / $379.70	Professional		$52.32	$237.32	$379.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.47 / $238.97 / $436.02	Professional		$158.47	$238.97	$436.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $207.08 / $270.47 / $4,933.00	Facility		$207.08	$270.47	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $207.08 / $233.02 / $330.06	Professional		$207.08	$233.02	$330.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.87 / $207.69 / $296.69	Professional		$162.87	$207.69	$296.69
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $4,645.00 / $6,327.00	Facility		$850.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.18 / $245.36 / $327.67	Professional		$206.18	$245.36	$327.67