Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.33 / $464.00 / $4,933.00	Facility		$213.33	$464.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.15 / $221.23 / $349.16	Professional		$164.15	$221.23	$349.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $249.06 / $290.29 / $393.30	Facility		$249.06	$290.29	$393.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.74 / $233.23 / $407.44	Professional		$41.74	$233.23	$407.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $201.88 / $427.73	Professional		$130.50	$201.88	$427.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $237.79 / $2,056.00 / $4,933.00	Facility		$237.79	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $213.33 / $245.73 / $377.20	Professional		$213.33	$245.73	$377.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $193.10 / $279.95	Professional		$30.79	$193.10	$279.95
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,386.00 / $2,449.00	Facility		$300.00	$1,386.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $241.79 / $298.98 / $389.97	Professional		$241.79	$298.98	$389.97