Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.08 / $184.03 / $6,621.64	Facility		$139.08	$184.03	$6,621.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.58 / $139.08 / $184.42	Professional		$105.58	$139.08	$184.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.94 / $195.10 / $269.35	Facility		$131.94	$195.10	$269.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.36 / $109.47 / $191.84	Professional		$28.36	$109.47	$191.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.79 / $162.35 / $302.08	Professional		$108.79	$162.35	$302.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $139.08 / $231.87 / $4,933.00	Facility		$139.08	$231.87	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $114.06 / $151.80 / $231.87	Professional		$114.06	$151.80	$231.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.09 / $119.79 / $174.27	Professional		$88.09	$119.79	$174.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $4,857.00 / $6,036.00	Facility		$1,050.00	$4,857.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.30 / $196.75 / $249.33	Professional		$152.30	$196.75	$249.33