Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.70 / $206.32 / $4,029.00	Facility		$113.70	$206.32	$4,029.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.87 / $148.01 / $206.32	Professional		$99.87	$148.01	$206.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $542.58 / $632.40 / $856.80	Facility		$542.58	$632.40	$856.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.54 / $87.77 / $189.58	Professional		$25.54	$87.77	$189.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.82 / $188.03 / $368.32	Professional		$100.82	$188.03	$368.32
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $119.39 / $314.95 / $4,933.00	Facility		$119.39	$314.95	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $113.71 / $171.94 / $271.99	Professional		$113.71	$171.94	$271.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $168.68 / $236.61	Professional		$137.22	$168.68	$236.61
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 $158.53 / $196.67 / $290.56	Professional		$158.53	$196.67	$290.56