Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.44 / $4,933.00 / $4,933.00	Facility		$48.44	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $48.44 / $48.44	Professional		$34.11	$48.44	$48.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.84 / $213.07 / $299.68	Facility		$181.84	$213.07	$299.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $35.79 / $68.72	Professional		$10.41	$35.79	$68.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.55 / $43.55 / $43.55	Facility		$43.55	$43.55	$43.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.68 / $52.01 / $151.10	Professional		$35.68	$52.01	$151.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $38.22 / $4,933.00 / $4,933.00	Facility		$38.22	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $42.97 / $65.77	Professional		$38.22	$42.97	$65.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $33.67 / $48.85	Professional		$27.68	$33.67	$48.85
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 $40.42 / $49.43 / $104.50	Professional		$40.42	$49.43	$104.50