Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.04 / $4,933.00 / $4,933.00	Facility		$50.04	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.07 / $50.04 / $50.46	Professional		$36.07	$50.04	$50.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $12.22 / $38.47	Facility		$12.22	$12.22	$38.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $40.02 / $69.23	Professional		$10.58	$40.02	$69.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.45 / $49.29 / $81.93	Professional		$37.45	$49.29	$81.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $47.11 / $4,933.00 / $4,933.00	Facility		$47.11	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $46.31 / $48.27 / $65.95	Professional		$46.31	$48.27	$65.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.87 / $34.60 / $49.83	Professional		$27.87	$34.60	$49.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,327.00	Facility		$1,906.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.96 / $53.27 / $71.30	Professional		$47.96	$53.27	$71.30