Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.95 / $34.95 / $34.95	Facility		$34.95	$34.95	$34.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $34.95 / $34.95	Professional		$26.36	$34.95	$34.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.40 / $497.74 / $678.06	Facility		$426.40	$497.74	$678.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.03 / $24.54 / $43.41	Professional		$7.03	$24.54	$43.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $45.90 / $84.89	Professional		$22.40	$45.90	$84.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $29.14 / $29.14 / $34.95	Facility		$29.14	$29.14	$34.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $30.40 / $50.00	Professional		$29.14	$30.40	$50.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $30.00 / $57.90	Professional		$27.68	$30.00	$57.90
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,428.00 / $2,029.00	Facility		$464.00	$1,428.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $36.54 / $49.81	Professional		$31.50	$36.54	$49.81