Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.96 / $2,877.00 / $4,933.00	Facility		$147.96	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.31 / $121.98 / $175.40	Professional		$100.31	$121.98	$175.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $551.53 / $647.33 / $877.04	Facility		$551.53	$647.33	$877.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.25 / $180.40 / $395.15	Professional		$31.25	$180.40	$395.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.94 / $141.49 / $260.85	Professional		$83.94	$141.49	$260.85
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $120.75 / $2,877.00 / $4,933.00	Facility		$120.75	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $114.62 / $131.00 / $192.99	Professional		$114.62	$131.00	$192.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $102.69 / $146.34	Professional		$82.26	$102.69	$146.34
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.80 / $144.74 / $195.64	Professional		$120.80	$144.74	$195.64