Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.33 / $464.00 / $4,933.00	Facility		$94.33	$464.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $94.33 / $116.41	Professional		$67.84	$94.33	$116.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.11 / $82.95 / $111.82	Facility		$71.11	$82.95	$111.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.03 / $106.07 / $151.13	Professional		$18.03	$106.07	$151.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.61 / $78.09 / $155.26	Professional		$52.61	$78.09	$155.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $93.93 / $2,056.00 / $4,933.00	Facility		$93.93	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $86.44 / $94.33 / $133.66	Professional		$86.44	$94.33	$133.66
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 $85.22 / $101.77 / $131.04	Professional		$85.22	$101.77	$131.04