Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $245.67 / $4,933.00	Facility		$97.37	$245.67	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $136.21 / $191.81	Professional		$80.09	$136.21	$191.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.07 / $136.66 / $186.16	Facility		$117.07	$136.66	$186.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.21 / $70.65 / $130.00	Professional		$19.21	$70.65	$130.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.77 / $134.12 / $233.41	Professional		$77.77	$134.12	$233.41
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $122.68 / $245.67 / $4,933.00	Facility		$122.68	$245.67	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $87.73 / $136.21 / $235.45	Professional		$87.73	$136.21	$235.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $136.45 / $195.19	Professional		$108.90	$136.45	$195.19
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 $146.57 / $184.41 / $254.08	Professional		$146.57	$184.41	$254.08