Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.50 / $2,056.00 / $4,933.00	Facility		$221.50	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.76 / $221.50 / $230.01	Professional		$149.76	$221.50	$230.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.04 / $254.47 / $254.47	Facility		$159.04	$254.47	$254.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $241.75 / $330.81	Professional		$43.26	$241.75	$330.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.88 / $218.55 / $353.73	Professional		$156.88	$218.55	$353.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $164.13 / $2,056.00 / $4,933.00	Facility		$164.13	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $164.13 / $169.28 / $257.33	Professional		$164.13	$169.28	$257.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.87 / $208.32 / $303.36	Professional		$162.87	$208.32	$303.36
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 $189.85 / $213.04 / $285.06	Professional		$189.85	$213.04	$285.06