Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.14 / $356.62 / $4,933.00	Facility		$40.14	$356.62	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.41 / $95.69 / $174.56	Professional		$26.41	$95.69	$174.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.32 / $223.38 / $302.64	Facility		$190.32	$223.38	$302.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.16 / $36.56 / $50.97	Professional		$7.16	$36.56	$50.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $84.57 / $190.58	Professional		$27.77	$84.57	$190.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $129.88 / $356.62 / $4,933.00	Facility		$129.88	$356.62	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $129.88 / $187.18	Professional		$33.18	$129.88	$187.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.71 / $135.73 / $192.57	Professional		$108.71	$135.73	$192.57
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 $122.97 / $155.47 / $199.75	Professional		$122.97	$155.47	$199.75