Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.79 / $407.16 / $4,933.00	Facility		$58.79	$407.16	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $49.16 / $80.78	Professional		$39.15	$49.16	$80.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $221.24 / $258.26 / $351.82	Facility		$221.24	$258.26	$351.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $39.54 / $79.89	Professional		$10.24	$39.54	$79.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.93 / $57.16 / $82.39	Professional		$36.93	$57.16	$82.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $49.82 / $363.64 / $4,933.00	Facility		$49.82	$363.64	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $46.90 / $57.04 / $91.26	Professional		$46.90	$57.04	$91.26
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 $54.49 / $64.33 / $79.12	Professional		$54.49	$64.33	$79.12