Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.51 / $144.22 / $4,933.00	Facility		$102.51	$144.22	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.49 / $109.23 / $144.22	Professional		$84.49	$109.23	$144.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $310.33 / $362.24 / $493.48	Facility		$310.33	$362.24	$493.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.36 / $126.79 / $180.17	Professional		$25.36	$126.79	$180.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.68 / $121.39 / $178.82	Professional		$60.68	$121.39	$178.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $98.65 / $107.56 / $4,933.00	Facility		$98.65	$107.56	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $107.56 / $117.48 / $181.72	Professional		$107.56	$117.48	$181.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $102.47 / $146.41	Professional		$81.79	$102.47	$146.41
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 $119.89 / $146.13 / $183.04	Professional		$119.89	$146.13	$183.04