Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.88 / $2,056.00 / $4,933.00	Facility		$99.88	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.11 / $99.88 / $103.72	Professional		$78.11	$99.88	$103.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $366.06 / $427.30 / $582.10	Facility		$366.06	$427.30	$582.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $110.23 / $208.86	Professional		$22.05	$110.23	$208.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.17 / $106.49 / $165.92	Professional		$55.17	$106.49	$165.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $95.99 / $2,056.00 / $4,933.00	Facility		$95.99	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $88.16 / $95.99 / $152.93	Professional		$88.16	$95.99	$152.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.75 / $69.21 / $99.67	Professional		$55.75	$69.21	$99.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,327.00	Facility		$1,906.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.55 / $112.16 / $157.81	Professional		$91.55	$112.16	$157.81