Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.06 / $4,933.00 / $4,933.00	Facility		$249.06	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.05 / $249.06 / $331.32	Professional		$152.05	$249.06	$331.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.26 / $184.45 / $353.93	Facility		$94.26	$184.45	$353.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $72.44 / $306.31	Professional		$42.12	$72.44	$306.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.12 / $258.66 / $375.48	Professional		$167.12	$258.66	$375.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $175.84 / $4,933.00 / $4,933.00	Facility		$175.84	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $175.84 / $205.24 / $276.47	Professional		$175.84	$205.24	$276.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $167.27 / $209.18 / $308.68	Professional		$167.27	$209.18	$308.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,740.00	Facility		$1,906.00	$4,645.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.25 / $231.99 / $310.39	Professional		$196.25	$231.99	$310.39