Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.92 / $658.95 / $4,933.00	Facility		$61.92	$658.95	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.59 / $85.88 / $133.76	Professional		$45.59	$85.88	$133.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.43 / $162.75 / $221.72	Facility		$139.43	$162.75	$221.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $74.58 / $119.64	Professional		$12.19	$74.58	$119.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.24 / $91.97 / $179.71	Professional		$52.24	$91.97	$179.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $112.41 / $658.95 / $4,933.00	Facility		$112.41	$658.95	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $61.92 / $112.41 / $163.13	Professional		$61.92	$112.41	$163.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $102.47 / $146.41	Professional		$81.79	$102.47	$146.41
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,504.00	Facility		$773.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.46 / $138.91 / $188.07	Professional		$114.46	$138.91	$188.07