Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.64 / $195.15 / $4,933.00	Facility		$83.64	$195.15	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.18 / $130.35 / $195.17	Professional		$64.18	$130.35	$195.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $278.88 / $545.77 / $1,047.24	Facility		$278.88	$545.77	$1,047.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $89.60 / $116.30	Professional		$81.84	$89.60	$116.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $145.34 / $308.58	Professional		$66.95	$145.34	$308.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $172.16 / $2,056.00 / $4,933.00	Facility		$172.16	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $172.16 / $223.80	Professional		$77.45	$172.16	$223.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.01 / $167.68 / $235.52	Professional		$136.01	$167.68	$235.52
United Facility/Professional Professional Modifier Low / Median / High Price $151.96 / $191.01 / $261.10	Professional		$151.96	$191.01	$261.10