Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.02 / $110.84 / $4,933.00	Facility		$66.02	$110.84	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $70.62 / $110.84	Professional		$48.22	$70.62	$110.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $399.75 / $465.92 / $631.25	Facility		$399.75	$465.92	$631.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $51.98 / $87.32	Professional		$14.71	$51.98	$87.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.16 / $80.67 / $220.13	Professional		$49.16	$80.67	$220.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $112.83 / $4,933.00	Facility		$67.20	$112.83	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $66.02 / $85.39 / $117.38	Professional		$66.02	$85.39	$117.38
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 $85.42 / $101.18 / $138.44	Professional		$85.42	$101.18	$138.44