Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.21 / $2,056.00 / $4,933.00	Facility		$91.21	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.68 / $96.89 / $201.97	Professional		$70.68	$96.89	$201.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.08 / $115.65 / $157.55	Facility		$99.08	$115.65	$157.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $69.27 / $138.54	Professional		$18.84	$69.27	$138.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $113.95 / $227.22	Professional		$73.06	$113.95	$227.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $110.68 / $2,056.00 / $4,933.00	Facility		$110.68	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $91.21 / $126.72 / $203.11	Professional		$91.21	$126.72	$203.11
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 $127.63 / $160.26 / $239.80	Professional		$127.63	$160.26	$239.80