Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $141.15 / $141.15	Facility		$138.74	$141.15	$141.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $94.01 / $146.94	Professional		$13.91	$94.01	$146.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.01 / $37.50 / $43.31	Facility		$32.01	$37.50	$43.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.13 / $37.50 / $49.81	Professional		$30.13	$37.50	$49.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $25.56 / $50.96	Professional		$19.00	$25.56	$50.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $18.25 / $18.25 / $141.15	Facility		$18.25	$18.25	$141.15
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $21.50 / $146.94	Professional		$14.51	$21.50	$146.94
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 Professional Modifier Low / Median / High Price $23.82 / $131.68 / $168.08	Professional		$23.82	$131.68	$168.08