Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.80 / $464.00 / $4,933.00	Facility		$214.80	$464.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.33 / $252.44 / $440.58	Professional		$165.33	$252.44	$440.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $400.84 / $467.19 / $632.97	Facility		$400.84	$467.19	$632.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.91 / $171.37 / $411.28	Professional		$41.91	$171.37	$411.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.52 / $252.87 / $583.32	Professional		$149.52	$252.87	$583.32
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $309.30 / $2,056.00 / $4,933.00	Facility		$309.30	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $214.80 / $310.83 / $467.30	Professional		$214.80	$310.83	$467.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $253.92 / $368.60	Professional		$30.79	$253.92	$368.60
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $2,800.00 / $4,594.00	Facility		$645.00	$2,800.00	$4,594.00
United Facility/Professional Professional Modifier Low / Median / High Price $313.23 / $379.45 / $524.08	Professional		$313.23	$379.45	$524.08