Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.81 / $2,056.00 / $4,933.00	Facility		$128.81	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.09 / $115.38 / $136.04	Professional		$99.09	$115.38	$136.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.09 / $107.27 / $208.28	Facility		$56.09	$107.27	$208.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $84.86 / $158.97	Professional		$24.30	$84.86	$158.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.34 / $134.63 / $285.29	Professional		$94.34	$134.63	$285.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $108.58 / $2,056.00 / $4,933.00	Facility		$108.58	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $98.35 / $108.58 / $145.59	Professional		$98.35	$108.58	$145.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $101.62 / $146.34	Professional		$82.26	$101.62	$146.34
United Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $1,351.00 / $1,844.00	Facility		$700.00	$1,351.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.45 / $137.97 / $187.39	Professional		$100.45	$137.97	$187.39