Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.27 / $180.39 / $4,933.00	Facility		$74.27	$180.39	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.82 / $105.63 / $180.39	Professional		$58.82	$105.63	$180.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.45 / $214.14 / $291.72	Facility		$183.45	$214.14	$291.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $97.60 / $153.72	Professional		$16.60	$97.60	$153.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.38 / $105.47 / $202.79	Professional		$64.38	$105.47	$202.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $142.27 / $166.51 / $4,933.00	Facility		$142.27	$166.51	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $74.27 / $142.27 / $194.66	Professional		$74.27	$142.27	$194.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $136.45 / $195.19	Professional		$108.90	$136.45	$195.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,161.06 / $3,260.00 / $6,327.00	Facility		$1,161.06	$3,260.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $166.82 / $232.33	Professional		$144.00	$166.82	$232.33