Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.42 / $745.83 / $4,933.00	Facility		$103.42	$745.83	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $103.42 / $178.30	Professional		$67.93	$103.42	$178.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.78 / $124.15 / $168.20	Facility		$105.78	$124.15	$168.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $124.97 / $198.58	Professional		$22.62	$124.97	$198.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.72 / $112.05 / $204.54	Professional		$75.72	$112.05	$204.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $98.44 / $745.83 / $4,933.00	Facility		$98.44	$745.83	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $87.25 / $113.20 / $180.04	Professional		$87.25	$113.20	$180.04
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 $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 $103.17 / $129.83 / $163.71	Professional		$103.17	$129.83	$163.71