Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.02 / $2,056.00 / $4,933.00	Facility		$188.02	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.06 / $203.37 / $275.93	Professional		$146.06	$203.37	$275.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $221.97 / $259.10 / $352.97	Facility		$221.97	$259.10	$352.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $256.20 / $475.83	Professional		$48.80	$256.20	$475.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.10 / $220.53 / $330.32	Professional		$154.10	$220.53	$330.32
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $218.06 / $2,056.00 / $4,933.00	Facility		$218.06	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $188.02 / $218.06 / $327.20	Professional		$188.02	$218.06	$327.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.69 / $188.13 / $278.36	Professional		$148.69	$188.13	$278.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $4,857.00 / $6,327.00	Facility		$1,527.00	$4,857.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $222.48 / $266.08 / $368.58	Professional		$222.48	$266.08	$368.58