Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.58 / $2,056.00 / $4,933.00	Facility		$55.58	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.58 / $83.20 / $148.69	Professional		$55.58	$83.20	$148.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.75 / $159.32 / $215.86	Facility		$135.75	$159.32	$215.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $44.04 / $108.85	Professional		$11.09	$44.04	$108.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $98.94 / $187.42	Professional		$41.29	$98.94	$187.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $101.34 / $2,056.00 / $4,933.00	Facility		$101.34	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $57.72 / $105.23 / $177.46	Professional		$57.72	$105.23	$177.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $101.78 / $144.21	Professional		$81.79	$101.78	$144.21
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.43 / $158.75 / $215.98	Professional		$75.43	$158.75	$215.98