Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.21 / $2,056.00 / $4,933.00	Facility		$180.21	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $354.24 / $378.80	Professional		$178.13	$354.24	$378.80
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 $45.46 / $173.83 / $297.45	Professional		$45.46	$173.83	$297.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.57 / $275.57 / $434.50	Professional		$275.57	$275.57	$434.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $375.13 / $2,056.00 / $4,933.00	Facility		$375.13	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $181.98 / $451.58 / $535.79	Professional		$181.98	$451.58	$535.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $274.45 / $341.20 / $488.60	Professional		$274.45	$341.20	$488.60
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 $478.79 / $571.87 / $733.40	Professional		$478.79	$571.87	$733.40