Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.69 / $95.25 / $4,933.00	Facility		$64.69	$95.25	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.88 / $89.15 / $163.29	Professional		$61.88	$89.15	$163.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.80 / $266.27 / $614.04	Facility		$194.80	$266.27	$614.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $92.72 / $108.57	Professional		$18.54	$92.72	$108.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.31 / $91.44 / $140.02	Professional		$76.31	$91.44	$140.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $95.25 / $2,056.00 / $4,933.00	Facility		$95.25	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $64.69 / $102.62 / $133.40	Professional		$64.69	$102.62	$133.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $101.32 / $141.24	Professional		$82.31	$101.32	$141.24
United Facility/Professional Facility Modifier Low / Median / High Price $267.42 / $1,205.00 / $2,029.00	Facility		$267.42	$1,205.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.58 / $123.57 / $179.78	Professional		$101.58	$123.57	$179.78