Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.06 / $160.81 / $4,933.00	Facility		$100.06	$160.81	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $119.87 / $160.81	Professional		$78.79	$119.87	$160.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.45 / $216.15 / $292.83	Facility		$185.45	$216.15	$292.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $69.59 / $109.27	Professional		$17.69	$69.59	$109.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $121.69 / $372.63	Professional		$72.48	$121.69	$372.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $126.07 / $202.62 / $4,933.00	Facility		$126.07	$202.62	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $98.35 / $140.35 / $180.67	Professional		$98.35	$140.35	$180.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.22 / $119.07 / $168.26	Professional		$89.22	$119.07	$168.26
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 $125.94 / $154.63 / $207.71	Professional		$125.94	$154.63	$207.71