Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.59 / $2,056.00 / $4,933.00	Facility		$91.59	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $91.59 / $175.86	Professional		$69.09	$91.59	$175.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.60 / $193.91 / $455.38	Facility		$143.60	$193.91	$455.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $67.23 / $162.77	Professional		$13.45	$67.23	$162.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.08 / $109.08 / $119.88	Professional		$109.08	$109.08	$119.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $88.55 / $2,056.00 / $4,933.00	Facility		$88.55	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $88.55 / $90.06 / $112.57	Professional		$88.55	$90.06	$112.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $58.78 / $80.16	Professional		$30.00	$58.78	$80.16
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 $84.11 / $102.91 / $142.03	Professional		$84.11	$102.91	$142.03