Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.67 / $4,933.00 / $4,933.00	Facility		$29.67	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.18 / $29.67 / $29.67	Professional		$23.18	$29.67	$29.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.09 / $24.09 / $43.88	Facility		$12.09	$24.09	$43.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.01 / $38.32 / $49.75	Professional		$35.01	$38.32	$49.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $32.08 / $43.07	Professional		$23.46	$32.08	$43.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $26.53 / $4,933.00 / $4,933.00	Facility		$26.53	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $26.53 / $37.27	Professional		$26.42	$26.53	$37.27
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 $26.77 / $31.11 / $43.63	Professional		$26.77	$31.11	$43.63