Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.72 / $2,056.00 / $4,933.00	Facility		$67.72	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.82 / $82.28 / $106.65	Professional		$53.82	$82.28	$106.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.29 / $140.41 / $191.29	Facility		$120.29	$140.41	$191.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $52.29 / $107.57	Professional		$13.55	$52.29	$107.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $81.56 / $133.65	Professional		$54.55	$81.56	$133.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $80.88 / $2,056.00 / $4,933.00	Facility		$80.88	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $67.72 / $85.41 / $140.32	Professional		$67.72	$85.41	$140.32
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 $90.30 / $108.38 / $140.37	Professional		$90.30	$108.38	$140.37