Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.12 / $89.12 / $89.12	Facility		$89.12	$89.12	$89.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $89.12 / $89.12	Professional		$66.81	$89.12	$89.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $429.39 / $500.47 / $678.06	Facility		$429.39	$500.47	$678.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $69.27 / $118.54	Professional		$20.16	$69.27	$118.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.17 / $90.50 / $147.82	Professional		$56.17	$90.50	$147.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $73.51 / $73.51 / $89.12	Facility		$73.51	$73.51	$89.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $73.51 / $77.90 / $119.31	Professional		$73.51	$77.90	$119.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $54.68 / $112.03	Professional		$30.00	$54.68	$112.03
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 $81.16 / $92.79 / $133.13	Professional		$81.16	$92.79	$133.13