Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.82 / $163.59 / $4,933.00	Facility		$18.82	$163.59	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $30.94 / $53.23	Professional		$18.82	$30.94	$53.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.44 / $171.85 / $232.83	Facility		$147.44	$171.85	$232.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.17 / $12.89 / $24.55	Professional		$3.17	$12.89	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.92 / $32.20 / $69.06	Professional		$14.92	$32.20	$69.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.16 / $36.10 / $4,933.00	Facility		$19.16	$36.10	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $35.11 / $49.23	Professional		$18.82	$35.11	$49.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $33.62 / $47.36	Professional		$27.09	$33.62	$47.36
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 $32.58 / $39.61 / $62.43	Professional		$32.58	$39.61	$62.43