Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.54 / $92.54 / $4,933.00	Facility		$92.54	$92.54	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.59 / $92.54 / $92.54	Professional		$62.59	$92.54	$92.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $422.10 / $492.36 / $663.75	Facility		$422.10	$492.36	$663.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $339.82 / $636.62	Professional		$97.30	$339.82	$636.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.85 / $76.83 / $284.50	Professional		$59.85	$76.83	$284.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $78.27 / $92.54 / $4,933.00	Facility		$78.27	$92.54	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $74.79 / $78.27 / $122.00	Professional		$74.79	$78.27	$122.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $89.14 / $89.14	Professional		$30.00	$89.14	$89.14
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 $70.48 / $86.58 / $119.73	Professional		$70.48	$86.58	$119.73