Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.38 / $55.38 / $5,452.98	Facility		$55.38	$55.38	$5,452.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $55.38 / $55.38	Professional		$41.64	$55.38	$55.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,102.11 / $1,286.51 / $1,752.58	Facility		$1,102.11	$1,286.51	$1,752.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $42.72 / $78.88	Professional		$11.73	$42.72	$78.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $71.95 / $92.72	Professional		$35.33	$71.95	$92.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $45.42 / $45.42 / $2,845.98	Facility		$45.42	$45.42	$2,845.98
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $45.42 / $47.90 / $77.78	Professional		$45.42	$47.90	$77.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $30.00 / $57.90	Professional		$27.68	$30.00	$57.90
United Facility/Professional Facility Modifier Low / Median / High Price $318.68 / $1,230.59 / $1,844.00	Facility		$318.68	$1,230.59	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.14 / $57.16 / $78.23	Professional		$50.14	$57.16	$78.23