Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.84 / $867.89 / $4,933.00	Facility		$80.84	$867.89	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $114.87 / $191.76	Professional		$65.34	$114.87	$191.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $639.21 / $869.19 / $2,125.48	Facility		$639.21	$869.19	$2,125.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $67.51 / $116.53	Professional		$16.51	$67.51	$116.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.76 / $109.76 / $109.76	Facility		$109.76	$109.76	$109.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $114.69 / $272.49	Professional		$63.00	$114.69	$272.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $107.89 / $867.89 / $4,933.00	Facility		$107.89	$867.89	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $121.63 / $211.59	Professional		$68.98	$121.63	$211.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.54 / $131.84 / $186.37	Professional		$107.54	$131.84	$186.37
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 $116.82 / $139.78 / $217.75	Professional		$116.82	$139.78	$217.75