Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.87 / $2,056.00 / $6,917.52	Facility		$55.87	$2,056.00	$6,917.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.08 / $54.46 / $58.20	Professional		$40.08	$54.46	$58.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,153.48 / $2,509.94 / $3,400.59	Facility		$2,153.48	$2,509.94	$3,400.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $46.94 / $75.81	Professional		$12.28	$46.94	$75.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.73 / $51.58 / $94.89	Professional		$41.73	$51.58	$94.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $49.90 / $2,056.00 / $4,933.00	Facility		$49.90	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $49.90 / $52.02 / $80.83	Professional		$49.90	$52.02	$80.83
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 $2,524.00 / $5,819.00 / $8,339.00	Facility		$2,524.00	$5,819.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.53 / $62.77 / $78.53	Professional		$51.53	$62.77	$78.53