Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.46 / $180.33 / $4,933.00	Facility		$88.46	$180.33	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.62 / $113.64 / $180.33	Professional		$65.62	$113.64	$180.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.65 / $221.04 / $299.48	Facility		$189.65	$221.04	$299.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $56.92 / $109.46	Professional		$13.33	$56.92	$109.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.37 / $123.33 / $326.52	Professional		$64.37	$123.33	$326.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $88.46 / $123.66 / $4,933.00	Facility		$88.46	$123.66	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $123.66 / $197.50	Professional		$81.84	$123.66	$197.50
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 $125.11 / $162.76 / $223.83	Professional		$125.11	$162.76	$223.83