Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.02 / $464.00 / $4,933.00	Facility		$123.02	$464.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.89 / $135.79 / $239.08	Professional		$88.89	$135.79	$239.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.69 / $239.74 / $324.81	Facility		$205.69	$239.74	$324.81
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $110.82 / $162.41 / $211.49	Facility	50	$110.82	$162.41	$211.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.21 / $142.41 / $237.62	Professional		$24.21	$142.41	$237.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.53 / $154.72 / $337.06	Professional		$82.53	$154.72	$337.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $166.06 / $2,056.00 / $4,933.00	Facility		$166.06	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $123.02 / $167.06 / $278.12	Professional		$123.02	$167.06	$278.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.14 / $168.40 / $231.92	Professional		$137.14	$168.40	$231.92
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,139.60 / $6,566.99	Facility		$773.00	$3,139.60	$6,566.99
United Facility/Professional Professional Modifier Low / Median / High Price $120.16 / $198.29 / $267.75	Professional		$120.16	$198.29	$267.75