Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.69 / $297.30 / $4,933.00	Facility		$29.69	$297.30	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $29.69 / $38.97	Professional		$21.26	$29.69	$38.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.22 / $189.07 / $256.17	Facility		$162.22	$189.07	$256.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $35.01 / $46.06	Professional		$5.95	$35.01	$46.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $32.39 / $100.71	Professional		$21.60	$32.39	$100.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $33.90 / $800.96 / $4,933.00	Facility		$33.90	$800.96	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $33.90 / $43.83	Professional		$27.07	$33.90	$43.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.71 / $33.83 / $49.49	Professional		$27.71	$33.83	$49.49
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 $31.83 / $40.78 / $56.55	Professional		$31.83	$40.78	$56.55