Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.94 / $140.22 / $4,933.00	Facility		$81.94	$140.22	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.79 / $85.48 / $119.42	Professional		$60.79	$85.48	$119.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.23 / $217.23 / $305.63	Facility		$186.23	$217.23	$305.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $49.90 / $89.88	Professional		$14.29	$49.90	$89.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.84 / $93.64 / $302.14	Professional		$58.84	$93.64	$302.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $94.00 / $140.22 / $4,933.00	Facility		$94.00	$140.22	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $80.43 / $94.00 / $128.81	Professional		$80.43	$94.00	$128.81
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 $89.00 / $104.12 / $136.80	Professional		$89.00	$104.12	$136.80