Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.27 / $58.27 / $58.27	Facility		$58.27	$58.27	$58.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.52 / $58.27 / $58.27	Professional		$44.52	$58.27	$58.27
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 $11.94 / $41.70 / $78.09	Professional		$11.94	$41.70	$78.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $76.70 / $98.18	Professional		$37.47	$76.70	$98.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $47.71 / $47.71 / $58.27	Facility		$47.71	$47.71	$58.27
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $47.71 / $51.91 / $78.01	Professional		$47.71	$51.91	$78.01
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 $342.67 / $1,386.00 / $2,029.00	Facility		$342.67	$1,386.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.83 / $61.33 / $84.35	Professional		$52.83	$61.33	$84.35