Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.01 / $358.25 / $4,933.00	Facility		$113.01	$358.25	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $113.01 / $161.53	Professional		$83.18	$113.01	$161.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.56 / $109.81 / $148.78	Facility		$93.56	$109.81	$148.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.93 / $141.90 / $235.37	Professional		$25.93	$141.90	$235.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.24 / $124.29 / $259.06	Professional		$86.24	$124.29	$259.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $106.76 / $2,056.00 / $4,933.00	Facility		$106.76	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $104.17 / $117.51 / $187.41	Professional		$104.17	$117.51	$187.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $101.78 / $144.21	Professional		$81.79	$101.78	$144.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,640.00 / $6,327.00	Facility		$1,050.00	$3,640.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.76 / $131.78 / $176.52	Professional		$108.76	$131.78	$176.52