Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.93 / $146.03 / $4,029.00	Facility		$73.93	$146.03	$4,029.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.43 / $97.15 / $176.14	Professional		$55.43	$97.15	$176.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $565.24 / $763.26 / $1,792.41	Facility		$565.24	$763.26	$1,792.41
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $354.76 / $459.02 / $605.19	Facility	50	$354.76	$459.02	$605.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.43 / $77.18 / $133.15	Professional		$14.43	$77.18	$133.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.76 / $92.30 / $184.49	Professional		$45.76	$92.30	$184.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $73.93 / $183.99 / $4,933.00	Facility		$73.93	$183.99	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $73.93 / $116.92 / $183.99	Professional		$73.93	$116.92	$183.99
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 $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 $119.01 / $148.49 / $203.56	Professional		$119.01	$148.49	$203.56