Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.43 / $448.29 / $4,933.00	Facility		$110.43	$448.29	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.84 / $113.38 / $185.89	Professional		$79.84	$113.38	$185.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.96 / $108.35 / $146.80	Facility		$92.96	$108.35	$146.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.94 / $87.72 / $161.94	Professional		$22.94	$87.72	$161.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.53 / $133.07 / $203.56	Professional		$91.53	$133.07	$203.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $119.46 / $448.29 / $4,933.00	Facility		$119.46	$448.29	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $106.01 / $132.22 / $203.31	Professional		$106.01	$132.22	$203.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.81 / $136.69 / $195.77	Professional		$109.81	$136.69	$195.77
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,205.00 / $1,844.00	Facility		$300.00	$1,205.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.01 / $154.76 / $204.74	Professional		$130.01	$154.76	$204.74