Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.47 / $115.44 / $4,933.00	Facility		$70.47	$115.44	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.75 / $88.75 / $115.44	Professional		$53.75	$88.75	$115.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $404.68 / $471.67 / $639.04	Facility		$404.68	$471.67	$639.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $50.65 / $85.85	Professional		$13.78	$50.65	$85.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.86 / $92.95 / $163.44	Professional		$57.86	$92.95	$163.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $103.91 / $111.32 / $4,933.00	Facility		$103.91	$111.32	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $70.47 / $103.91 / $140.13	Professional		$70.47	$103.91	$140.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.73 / $68.44 / $98.33	Professional		$55.73	$68.44	$98.33
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.24 / $136.27 / $211.62	Professional		$96.24	$136.27	$211.62