Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.94 / $2,056.00 / $4,933.00	Facility		$49.94	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.08 / $51.80 / $91.68	Professional		$39.08	$51.80	$91.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.03 / $63.87 / $86.54	Facility		$55.03	$63.87	$86.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $37.90 / $64.25	Professional		$10.98	$37.90	$64.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.95 / $65.59 / $116.36	Professional		$38.95	$65.59	$116.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $61.24 / $2,056.00 / $4,933.00	Facility		$61.24	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $49.94 / $68.48 / $100.03	Professional		$49.94	$68.48	$100.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $68.34 / $97.88	Professional		$54.90	$68.34	$97.88
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,428.00 / $2,029.00	Facility		$464.00	$1,428.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $84.63 / $125.22	Professional		$70.20	$84.63	$125.22