Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.61 / $2,877.00 / $4,933.00	Facility		$31.61	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $32.83 / $50.84	Professional		$21.69	$32.83	$50.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.14 / $54.10 / $130.15	Facility		$39.14	$54.10	$130.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $26.13 / $43.62	Professional		$6.80	$26.13	$43.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $35.03 / $70.64	Professional		$21.50	$35.03	$70.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $31.61 / $2,877.00 / $4,933.00	Facility		$31.61	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $40.52 / $57.27	Professional		$29.71	$40.52	$57.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.55 / $20.45 / $100.00	Professional		$15.55	$20.45	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.70 / $44.80 / $64.59	Professional		$34.70	$44.80	$64.59