Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.55 / $2,056.00 / $4,933.00	Facility		$67.55	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.80 / $67.55 / $79.13	Professional		$45.80	$67.55	$79.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.85 / $334.16 / $472.50	Facility		$279.85	$334.16	$472.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $72.86 / $127.95	Professional		$13.03	$72.86	$127.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.37 / $86.37 / $86.37	Facility		$86.37	$86.37	$86.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.35 / $76.08 / $179.46	Professional		$48.35	$76.08	$179.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $58.37 / $2,056.00 / $4,933.00	Facility		$58.37	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $55.79 / $67.12 / $97.58	Professional		$55.79	$67.12	$97.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $66.67 / $93.71	Professional		$54.30	$66.67	$93.71
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,438.00 / $2,029.00	Facility		$464.00	$1,438.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.97 / $73.56 / $162.12	Professional		$61.97	$73.56	$162.12