Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.22 / $4,933.00 / $4,933.00	Facility		$90.22	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $87.00 / $93.57	Professional		$63.35	$87.00	$93.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $348.98 / $406.75 / $551.08	Facility		$348.98	$406.75	$551.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $65.69 / $135.12	Professional		$17.02	$65.69	$135.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.28 / $85.83 / $128.01	Professional		$54.28	$85.83	$128.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $82.53 / $4,933.00 / $4,933.00	Facility		$82.53	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $73.63 / $82.53 / $108.22	Professional		$73.63	$82.53	$108.22
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 $1,906.00 / $4,645.00 / $6,740.00	Facility		$1,906.00	$4,645.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $95.45 / $123.84	Professional		$78.20	$95.45	$123.84