Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.19 / $209.25 / $4,933.00	Facility		$112.19	$209.25	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.70 / $132.88 / $209.25	Professional		$83.70	$132.88	$209.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.38 / $243.07 / $341.99	Facility		$208.38	$243.07	$341.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $75.11 / $151.62	Professional		$17.27	$75.11	$151.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.28 / $149.44 / $397.09	Professional		$83.28	$149.44	$397.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $112.19 / $153.97 / $4,933.00	Facility		$112.19	$153.97	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $112.18 / $153.97 / $233.57	Professional		$112.18	$153.97	$233.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.59 / $202.65 / $282.48	Professional		$163.59	$202.65	$282.48
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 $122.01 / $190.19 / $243.17	Professional		$122.01	$190.19	$243.17