Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.35 / $24.24 / $39.25	Facility		$23.35	$24.24	$39.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $37.79 / $58.30	Professional		$18.39	$37.79	$58.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.25 / $76.13 / $173.01	Facility		$55.25	$76.13	$173.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $26.40 / $46.87	Professional		$4.49	$26.40	$46.87
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $36.00 / $42.35 / $70.31	Professional	50	$36.00	$42.35	$70.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $32.33 / $67.34	Professional		$17.44	$32.33	$67.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $23.35 / $55.25 / $55.25	Facility		$23.35	$55.25	$55.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $47.66 / $72.73	Professional		$24.24	$47.66	$72.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $18.73 / $75.00	Professional		$11.29	$18.73	$75.00
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $63.98 / $74.47	Professional		$31.70	$63.98	$74.47