Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.30 / $135.41 / $4,933.00	Facility		$84.30	$135.41	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $98.81 / $162.50	Professional		$66.73	$98.81	$162.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $565.24 / $658.81 / $892.58	Facility		$565.24	$658.81	$892.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $101.24 / $143.87	Professional		$18.84	$101.24	$143.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $112.25 / $290.63	Professional		$74.48	$112.25	$290.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $85.81 / $137.85 / $4,933.00	Facility		$85.81	$137.85	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $84.29 / $110.53 / $177.61	Professional		$84.29	$110.53	$177.61
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 $105.95 / $135.05 / $166.83	Professional		$105.95	$135.05	$166.83