Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.48 / $4,933.00 / $4,933.00	Facility		$96.48	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $96.48 / $108.54	Professional		$35.52	$96.48	$108.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.09 / $256.68 / $602.78	Facility		$190.09	$256.68	$602.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $49.20 / $162.77	Professional		$12.03	$49.20	$162.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.66 / $116.66 / $128.21	Professional		$116.66	$116.66	$128.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $96.48 / $98.02 / $4,933.00	Facility		$96.48	$98.02	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $96.48 / $98.02 / $122.52	Professional		$96.48	$98.02	$122.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $63.39 / $86.44	Professional		$30.00	$63.39	$86.44
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.28 / $113.94 / $163.74	Professional		$94.28	$113.94	$163.74