Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.01 / $464.00 / $4,933.00	Facility		$169.01	$464.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.03 / $225.26 / $393.10	Professional		$130.03	$225.26	$393.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $377.47 / $439.95 / $596.07	Facility		$377.47	$439.95	$596.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.27 / $195.70 / $396.31	Professional		$33.27	$195.70	$396.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.17 / $223.32 / $543.09	Professional		$119.17	$223.32	$543.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $278.26 / $2,056.00 / $4,933.00	Facility		$278.26	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $169.01 / $281.35 / $435.81	Professional		$169.01	$281.35	$435.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $234.14 / $347.06	Professional		$32.13	$234.14	$347.06
United Facility/Professional Facility Modifier Low / Median / High Price $759.16 / $3,260.00 / $6,327.00	Facility		$759.16	$3,260.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $284.27 / $341.12 / $444.58	Professional		$284.27	$341.12	$444.58