Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.40 / $2,056.00 / $4,933.00	Facility		$66.40	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.45 / $70.16	Professional		$50.12	$60.45	$70.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.39 / $55.13 / $107.04	Facility		$26.39	$55.13	$107.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.36 / $47.71 / $80.70	Professional		$12.36	$47.71	$80.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.64 / $64.62 / $147.09	Professional		$48.64	$64.62	$147.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $60.71 / $2,056.00 / $4,933.00	Facility		$60.71	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $52.50 / $60.71 / $80.00	Professional		$52.50	$60.71	$80.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $34.19 / $49.83	Professional		$27.68	$34.19	$49.83
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,247.00 / $1,844.00	Facility		$464.00	$1,247.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.94 / $70.20 / $97.16	Professional		$51.94	$70.20	$97.16