Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.62 / $138.08 / $4,933.00	Facility		$66.62	$138.08	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.62 / $86.37 / $146.38	Professional		$66.62	$86.37	$146.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.13 / $640.03 / $867.14	Facility		$549.13	$640.03	$867.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $48.79 / $91.40	Professional		$13.97	$48.79	$91.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.19 / $88.99 / $224.44	Professional		$48.19	$88.99	$224.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $83.94 / $409.84 / $4,933.00	Facility		$83.94	$409.84	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $66.62 / $105.60 / $144.46	Professional		$66.62	$105.60	$144.46
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 $700.00 / $1,209.00 / $2,029.00	Facility		$700.00	$1,209.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.61 / $115.44 / $153.88	Professional		$87.61	$115.44	$153.88