Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.13 / $172.87 / $182.21	Professional		$95.13	$172.87	$182.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.44 / $81.48 / $83.66	Facility		$15.44	$81.48	$83.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $83.66 / $93.06	Professional		$16.05	$83.66	$93.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.93 / $99.93 / $99.93	Professional		$99.93	$99.93	$99.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $66.75 / $4,933.00 / $4,933.00	Facility		$66.75	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $118.26 / $159.93	Professional		$57.13	$118.26	$159.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.51 / $67.77 / $98.23	Professional		$54.51	$67.77	$98.23
United Facility/Professional Professional Modifier Low / Median / High Price $59.95 / $110.52 / $263.60	Professional		$59.95	$110.52	$263.60