Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.04 / $2,056.00 / $4,933.00	Facility		$113.04	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.79 / $113.04 / $147.94	Professional		$82.79	$113.04	$147.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.21 / $157.03 / $210.50	Facility		$106.21	$157.03	$210.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.04 / $92.99 / $198.17	Professional		$21.04	$92.99	$198.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.85 / $118.25 / $249.07	Professional		$83.85	$118.25	$249.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $107.59 / $2,056.00 / $4,933.00	Facility		$107.59	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $94.33 / $113.04 / $169.60	Professional		$94.33	$113.04	$169.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.65 / $101.54 / $145.99	Professional		$81.65	$101.54	$145.99
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,438.00 / $1,844.00	Facility		$300.00	$1,438.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.16 / $152.44 / $208.25	Professional		$119.16	$152.44	$208.25