Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.27 / $4,933.00 / $4,933.00	Facility		$65.27	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.22 / $65.27 / $65.27	Professional		$51.22	$65.27	$65.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.21 / $56.21 / $102.38	Facility		$28.21	$56.21	$102.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.17 / $83.39 / $108.24	Professional		$76.17	$83.39	$108.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $65.54 / $96.16	Professional		$49.98	$65.54	$96.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $60.16 / $4,933.00 / $4,933.00	Facility		$60.16	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $55.91 / $60.16 / $80.50	Professional		$55.91	$60.16	$80.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.87 / $34.60 / $49.83	Professional		$27.87	$34.60	$49.83
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,428.00 / $2,029.00	Facility		$464.00	$1,428.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.30 / $66.48 / $95.87	Professional		$57.30	$66.48	$95.87