Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $2,056.00 / $4,933.00	Facility		$64.00	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $64.00 / $64.00	Professional		$31.13	$64.00	$64.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.52 / $180.78 / $180.78	Facility		$120.52	$180.78	$180.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.57 / $189.82 / $244.05	Professional		$132.57	$189.82	$244.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.21 / $33.21 / $37.74	Professional		$33.21	$33.21	$37.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.71 / $2,056.00 / $4,933.00	Facility		$19.71	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $25.84 / $97.81	Professional		$19.71	$25.84	$97.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.09 / $44.95 / $70.36	Professional		$39.09	$44.95	$70.36
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 $21.84 / $24.83 / $104.58	Professional		$21.84	$24.83	$104.58