Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.05 / $160.37 / $4,933.00	Facility		$74.05	$160.37	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.89 / $97.60 / $168.38	Professional		$55.89	$97.60	$168.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.03 / $165.55 / $224.29	Facility		$142.03	$165.55	$224.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $62.64 / $90.33	Professional		$11.21	$62.64	$90.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $112.96 / $294.58	Professional		$54.75	$112.96	$294.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $74.05 / $160.37 / $4,933.00	Facility		$74.05	$160.37	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $68.80 / $111.19 / $192.44	Professional		$68.80	$111.19	$192.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $134.77 / $188.01	Professional		$108.90	$134.77	$188.01
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 $115.57 / $148.24 / $197.90	Professional		$115.57	$148.24	$197.90