Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.44 / $2,056.00 / $4,933.00	Facility		$50.44	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $45.59 / $53.15	Professional		$38.22	$45.59	$53.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.55 / $249.21 / $334.06	Facility		$168.55	$249.21	$334.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $38.22 / $61.76	Professional		$9.90	$38.22	$61.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $56.83 / $114.06	Professional		$37.97	$56.83	$114.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $46.03 / $2,056.00 / $4,933.00	Facility		$46.03	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $39.93 / $46.03 / $67.52	Professional		$39.93	$46.03	$67.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $34.44 / $49.83	Professional		$27.68	$34.44	$49.83
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 $40.78 / $59.15 / $77.14	Professional		$40.78	$59.15	$77.14