Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.75 / $168.54 / $4,933.00	Facility		$120.75	$168.54	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.34 / $120.75 / $168.54	Professional		$87.34	$120.75	$168.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.92 / $115.42 / $162.34	Facility		$98.92	$115.42	$162.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $105.93 / $205.73	Professional		$27.72	$105.93	$205.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.55 / $132.94 / $415.80	Professional		$88.55	$132.94	$415.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $120.75 / $143.16 / $4,933.00	Facility		$120.75	$143.16	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $120.75 / $143.16 / $192.56	Professional		$120.75	$143.16	$192.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.81 / $135.75 / $190.24	Professional		$109.81	$135.75	$190.24
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 $134.15 / $156.50 / $203.23	Professional		$134.15	$156.50	$203.23