Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.87 / $130.01 / $4,933.00	Facility		$87.87	$130.01	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.65 / $90.79 / $130.01	Professional		$63.65	$90.79	$130.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.62 / $76.47 / $174.19	Facility		$55.62	$76.47	$174.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $71.94 / $127.88	Professional		$18.84	$71.94	$127.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $94.13 / $175.79	Professional		$65.77	$94.13	$175.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $87.87 / $125.20 / $4,933.00	Facility		$87.87	$125.20	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $90.79 / $104.58 / $148.83	Professional		$90.79	$104.58	$148.83
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 $89.41 / $108.55 / $161.75	Professional		$89.41	$108.55	$161.75