Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.14 / $82.07 / $4,933.00	Facility		$36.14	$82.07	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $59.60 / $82.07	Professional		$28.79	$59.60	$82.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $325.95 / $446.00 / $1,057.03	Facility		$325.95	$446.00	$1,057.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $23.90 / $48.25	Professional		$6.32	$23.90	$48.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $60.98 / $145.61	Professional		$26.52	$60.98	$145.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $71.70 / $2,056.00 / $4,933.00	Facility		$71.70	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $71.70 / $89.29	Professional		$36.14	$71.70	$89.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $101.32 / $141.24	Professional		$81.79	$101.32	$141.24
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.26 / $82.19 / $113.97	Professional		$66.26	$82.19	$113.97