Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.17 / $125.81 / $4,933.00	Facility		$86.17	$125.81	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.37 / $89.32 / $125.81	Professional		$62.37	$89.32	$125.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.28 / $104.06 / $140.99	Facility		$89.28	$104.06	$140.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.46 / $70.56 / $146.56	Professional		$18.46	$70.56	$146.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.84 / $100.82 / $294.94	Professional		$62.84	$100.82	$294.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $86.17 / $108.49 / $4,933.00	Facility		$86.17	$108.49	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $86.17 / $108.49 / $144.13	Professional		$86.17	$108.49	$144.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $101.32 / $141.24	Professional		$81.79	$101.32	$141.24
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 $98.64 / $116.66 / $160.35	Professional		$98.64	$116.66	$160.35