Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.19 / $100.36 / $4,933.00	Facility		$58.19	$100.36	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.28 / $60.92 / $100.36	Professional		$47.28	$60.92	$100.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.31 / $82.09 / $111.82	Facility		$70.31	$82.09	$111.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $46.60 / $86.05	Professional		$12.19	$46.60	$86.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $76.48 / $127.46	Professional		$49.10	$76.48	$127.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $73.23 / $96.34 / $4,933.00	Facility		$73.23	$96.34	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $60.61 / $76.34 / $113.16	Professional		$60.61	$76.34	$113.16
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 $82.55 / $100.79 / $132.08	Professional		$82.55	$100.79	$132.08