Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.97 / $94.94 / $4,933.00	Facility		$61.97	$94.94	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $61.97 / $94.94	Professional		$42.70	$61.97	$94.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.76 / $88.74 / $124.85	Facility		$75.76	$88.74	$124.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $48.86 / $83.65	Professional		$13.30	$48.86	$83.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.43 / $74.90 / $211.49	Professional		$44.43	$74.90	$211.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $61.97 / $70.91 / $4,933.00	Facility		$61.97	$70.91	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $61.97 / $72.36 / $108.77	Professional		$61.97	$72.36	$108.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $67.87 / $95.12	Professional		$54.90	$67.87	$95.12
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 $73.40 / $89.72 / $113.30	Professional		$73.40	$89.72	$113.30