Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.87 / $32.15 / $69.97	Facility		$30.87	$32.15	$69.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $49.95 / $69.97	Professional		$27.50	$49.95	$69.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.29 / $140.41 / $191.29	Facility		$120.29	$140.41	$191.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $31.94 / $42.10	Professional		$6.69	$31.94	$42.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $48.53 / $85.13	Professional		$26.85	$48.53	$85.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $30.87 / $47.18 / $67.18	Facility		$30.87	$47.18	$67.18
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $30.87 / $51.35 / $80.98	Professional		$30.87	$51.35	$80.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $68.34 / $97.88	Professional		$54.90	$68.34	$97.88
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 $52.34 / $65.45 / $88.93	Professional		$52.34	$65.45	$88.93