Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.93 / $166.99 / $2,056.00	Facility		$89.93	$166.99	$2,056.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $120.14 / $210.40	Professional		$81.92	$120.14	$210.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $447.15 / $521.16 / $706.10	Facility		$447.15	$521.16	$706.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.79 / $69.09 / $122.97	Professional		$18.79	$69.09	$122.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $151.38 / $290.63	Professional		$79.80	$151.38	$290.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $89.93 / $166.99 / $4,933.00	Facility		$89.93	$166.99	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $89.94 / $145.31 / $220.05	Professional		$89.94	$145.31	$220.05
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 $133.91 / $173.23 / $270.30	Professional		$133.91	$173.23	$270.30