Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.38 / $15.38 / $15.38	Facility		$15.38	$15.38	$15.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $16.88 / $244.00	Professional		$12.39	$16.88	$244.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.29 / $146.29 / $146.29	Facility		$146.29	$146.29	$146.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.97 / $153.60 / $182.86	Professional		$138.97	$153.60	$182.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $19.07 / $22.86	Professional		$18.18	$19.07	$22.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.38 / $21.36 / $21.36	Facility		$15.38	$21.36	$21.36
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $21.36 / $75.00	Professional		$15.38	$21.36	$75.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,438.00 / $1,844.00	Facility		$300.00	$1,438.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.02 / $22.33 / $34.77	Professional		$16.02	$22.33	$34.77