Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.56 / $55.56 / $55.56	Facility		$55.56	$55.56	$55.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $55.56 / $83.38	Professional		$39.56	$55.56	$83.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.34 / $35.34 / $35.34	Facility		$35.34	$35.34	$35.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $35.34 / $44.36	Professional		$28.27	$35.34	$44.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.62 / $65.62 / $65.62	Facility		$65.62	$65.62	$65.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $40.18 / $147.31	Professional		$33.31	$40.18	$147.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $55.56 / $174.99 / $174.99	Facility		$55.56	$174.99	$174.99
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $174.99 / $218.52	Professional		$55.56	$174.99	$218.52
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 $63.83 / $4,056.00 / $6,036.00	Facility		$63.83	$4,056.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $82.08 / $122.38	Professional		$65.34	$82.08	$122.38