Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.91 / $100.16 / $4,933.00	Facility		$83.91	$100.16	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $83.91 / $103.87	Professional		$60.12	$83.91	$103.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $341.88 / $398.47 / $539.87	Facility		$341.88	$398.47	$539.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $91.30 / $144.16	Professional		$16.32	$91.30	$144.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $73.33 / $137.88	Professional		$52.54	$73.33	$137.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $80.95 / $83.91 / $4,933.00	Facility		$80.95	$83.91	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $75.47 / $85.28 / $121.50	Professional		$75.47	$85.28	$121.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.45 / $67.94 / $92.00	Professional		$55.45	$67.94	$92.00
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,386.00 / $2,449.00	Facility		$300.00	$1,386.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.18 / $93.78 / $129.15	Professional		$77.18	$93.78	$129.15