Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.28 / $2,056.00 / $4,933.00	Facility		$96.28	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.20 / $182.34 / $198.11	Professional		$95.20	$182.34	$198.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $396.88 / $463.28 / $631.11	Facility		$396.88	$463.28	$631.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.38 / $89.64 / $164.93	Professional		$24.38	$89.64	$164.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.85 / $153.85 / $223.27	Professional		$153.85	$153.85	$223.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $193.27 / $2,056.00 / $4,933.00	Facility		$193.27	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $97.23 / $239.88 / $298.54	Professional		$97.23	$239.88	$298.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $170.60 / $244.30	Professional		$137.22	$170.60	$244.30
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,428.00 / $2,029.00	Facility		$464.00	$1,428.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.14 / $297.49 / $392.80	Professional		$252.14	$297.49	$392.80