Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.83 / $109.46 / $4,933.00	Facility		$72.83	$109.46	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $72.83 / $91.76	Professional		$56.07	$72.83	$91.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.13 / $273.30 / $372.31	Facility		$234.13	$273.30	$372.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.10 / $59.20 / $111.85	Professional		$16.10	$59.20	$111.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $76.67 / $116.15	Professional		$52.64	$76.67	$116.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $70.58 / $113.17 / $4,933.00	Facility		$70.58	$113.17	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $65.47 / $73.87 / $111.02	Professional		$65.47	$73.87	$111.02
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 $78.61 / $92.90 / $117.15	Professional		$78.61	$92.90	$117.15