Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.71 / $92.64 / $4,933.00	Facility		$51.71	$92.64	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $74.17 / $112.21	Professional		$41.40	$74.17	$112.21
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 $10.15 / $38.83 / $68.72	Professional		$10.15	$38.83	$68.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.05 / $68.55 / $116.20	Professional		$41.05	$68.55	$116.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $70.15 / $92.64 / $4,933.00	Facility		$70.15	$92.64	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $51.71 / $74.17 / $122.50	Professional		$51.71	$74.17	$122.50
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 $77.12 / $92.78 / $120.24	Professional		$77.12	$92.78	$120.24