Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.48 / $2,056.00 / $4,933.00	Facility		$109.48	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $202.16 / $220.90	Professional		$107.43	$202.16	$220.90
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 $29.16 / $127.60 / $181.68	Professional		$29.16	$127.60	$181.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.49 / $173.49 / $246.85	Professional		$173.49	$173.49	$246.85
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $214.34 / $2,056.00 / $4,933.00	Facility		$214.34	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $110.56 / $258.95 / $323.27	Professional		$110.56	$258.95	$323.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.59 / $204.94 / $293.05	Professional		$163.59	$204.94	$293.05
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 $272.54 / $319.52 / $434.61	Professional		$272.54	$319.52	$434.61