Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.92 / $49.92 / $1,871.10	Facility		$49.92	$49.92	$1,871.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.10 / $49.92 / $49.92	Professional		$38.10	$49.92	$49.92
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 $10.15 / $37.34 / $80.68	Professional		$10.15	$37.34	$80.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.66 / $84.68	Professional		$32.34	$65.66	$84.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $41.50 / $41.50 / $1,738.00	Facility		$41.50	$41.50	$1,738.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $41.50 / $44.80 / $66.83	Professional		$41.50	$44.80	$66.83
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 $45.93 / $51.97 / $71.28	Professional		$45.93	$51.97	$71.28