Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.93 / $153.34 / $4,933.00	Facility		$87.93	$153.34	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.06 / $117.34 / $193.20	Professional		$70.06	$117.34	$193.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $405.58 / $472.72 / $640.46	Facility		$405.58	$472.72	$640.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.87 / $53.09 / $110.27	Professional		$13.87	$53.09	$110.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $123.93 / $289.19	Professional		$72.73	$123.93	$289.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $89.51 / $153.34 / $4,933.00	Facility		$89.51	$153.34	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $87.93 / $129.55 / $193.20	Professional		$87.93	$129.55	$193.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $101.32 / $141.24	Professional		$81.79	$101.32	$141.24
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 $115.31 / $153.74 / $207.47	Professional		$115.31	$153.74	$207.47