Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.18 / $142.22 / $4,933.00	Facility		$115.18	$142.22	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.98 / $115.18 / $177.16	Professional		$59.98	$115.18	$177.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $584.07 / $798.37 / $1,841.11	Facility		$584.07	$798.37	$1,841.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.47 / $112.44 / $160.08	Professional		$24.47	$112.44	$160.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $110.54 / $384.14	Professional		$78.73	$110.54	$384.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $124.81 / $678.82 / $4,933.00	Facility		$124.81	$678.82	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $124.81 / $170.67	Professional		$80.23	$124.81	$170.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $101.40 / $144.61	Professional		$82.26	$101.40	$144.61
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,209.00 / $2,029.00	Facility		$464.00	$1,209.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.29 / $135.93 / $200.71	Professional		$108.29	$135.93	$200.71