Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.96 / $464.00 / $4,933.00	Facility		$83.96	$464.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.78 / $83.79 / $142.31	Professional		$52.78	$83.79	$142.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.61 / $88.01 / $123.82	Facility		$74.61	$88.01	$123.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $113.96 / $165.35	Professional		$16.01	$113.96	$165.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.37 / $89.80 / $155.80	Professional		$62.37	$89.80	$155.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $76.75 / $207.21 / $4,933.00	Facility		$76.75	$207.21	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $88.26 / $146.75	Professional		$65.90	$88.26	$146.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $67.99 / $96.85	Professional		$54.68	$67.99	$96.85
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.74 / $101.42 / $136.19	Professional		$83.74	$101.42	$136.19