Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.01 / $2,056.00 / $4,933.00	Facility		$85.01	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $85.01 / $120.11	Professional		$63.96	$85.01	$120.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.95 / $80.79 / $113.64	Facility		$68.95	$80.79	$113.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $81.27 / $167.63	Professional		$18.64	$81.27	$167.63
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $162.97 / $162.97 / $219.71	Professional	50	$162.97	$162.97	$219.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.99 / $91.21 / $156.28	Professional		$59.99	$91.21	$156.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $84.32 / $2,056.00 / $4,933.00	Facility		$84.32	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $74.53 / $88.28 / $141.38	Professional		$74.53	$88.28	$141.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $68.01 / $96.85	Professional		$54.90	$68.01	$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 $86.04 / $101.90 / $138.52	Professional		$86.04	$101.90	$138.52