Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.28 / $2,056.00 / $4,933.00	Facility		$89.28	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.39 / $89.28 / $272.77	Professional		$70.39	$89.28	$272.77
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 / $53.08 / $157.44	Professional		$13.45	$53.08	$157.44
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 $90.47 / $2,056.00 / $4,933.00	Facility		$90.47	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $89.28 / $90.47 / $115.76	Professional		$89.28	$90.47	$115.76
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 $86.85 / $107.65 / $153.49	Professional		$86.85	$107.65	$153.49