Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.59 / $47.39 / $63.18	Facility		$31.59	$47.39	$63.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $31.59 / $186.99	Professional		$22.45	$31.59	$186.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.66 / $99.43 / $99.43	Facility		$95.66	$99.43	$99.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.88 / $102.36 / $134.22	Professional		$90.88	$102.36	$134.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $37.28 / $37.28	Facility		$37.28	$37.28	$37.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $29.23 / $155.93	Professional		$24.17	$29.23	$155.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $31.59 / $74.63 / $181.22	Facility		$31.59	$74.63	$181.22
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $181.22 / $218.20	Professional		$31.59	$181.22	$218.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $108.97 / $108.97 / $210.92	Facility		$108.97	$108.97	$210.92
United Facility/Professional Professional Modifier Low / Median / High Price $105.41 / $193.27 / $289.91	Professional		$105.41	$193.27	$289.91