Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.13 / $2,877.00 / $4,933.00	Facility		$140.13	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.51 / $140.13 / $140.13	Professional		$108.51	$140.13	$140.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.54 / $55.54 / $55.54	Facility		$55.54	$55.54	$55.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.76 / $55.54 / $66.65	Professional		$52.76	$55.54	$66.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.19 / $132.19 / $132.19	Professional		$132.19	$132.19	$132.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $140.13 / $2,877.00 / $4,933.00	Facility		$140.13	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $99.35 / $140.13 / $140.13	Professional		$99.35	$140.13	$140.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,386.00 / $2,449.00	Facility		$464.00	$1,386.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.80 / $169.71 / $210.38	Professional		$141.80	$169.71	$210.38