Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.09 / $541.86 / $4,933.00	Facility		$88.09	$541.86	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.89 / $88.09 / $148.69	Professional		$66.89	$88.09	$148.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.97 / $538.49 / $761.42	Facility		$450.97	$538.49	$761.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.02 / $112.38 / $188.01	Professional		$21.02	$112.38	$188.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.90 / $118.90 / $118.90	Facility		$118.90	$118.90	$118.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.23 / $116.38 / $291.20	Professional		$68.23	$116.38	$291.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $96.76 / $541.86 / $4,933.00	Facility		$96.76	$541.86	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $102.07 / $159.22	Professional		$71.56	$102.07	$159.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.10 / $99.34 / $139.66	Professional		$81.10	$99.34	$139.66
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,438.00 / $2,029.00	Facility		$464.00	$1,438.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.12 / $130.72 / $207.11	Professional		$108.12	$130.72	$207.11