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 $12.42 / $43.89 / $94.80	Professional		$12.42	$43.89	$94.80
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 $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 $52.83 / $61.27 / $82.86	Professional		$52.83	$61.27	$82.86