Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.83 / $2,056.00 / $4,933.00	Facility		$62.83	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $69.70 / $95.56	Professional		$47.34	$69.70	$95.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $391.58 / $528.75 / $1,241.71	Facility		$391.58	$528.75	$1,241.71
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $209.83 / $309.17 / $402.61	Facility	50	$209.83	$309.17	$402.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.24 / $67.65 / $89.01	Professional		$14.24	$67.65	$89.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $76.34 / $132.56	Professional		$44.17	$76.34	$132.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $81.37 / $2,056.00 / $4,933.00	Facility		$81.37	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $65.13 / $81.37 / $113.46	Professional		$65.13	$81.37	$113.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $67.99 / $96.85	Professional		$54.68	$67.99	$96.85
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 $76.15 / $100.44 / $130.19	Professional		$76.15	$100.44	$130.19