Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.93 / $81.56 / $473.15	Facility		$56.93	$81.56	$473.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $56.23 / $87.56	Professional		$35.92	$56.23	$87.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.70 / $270.05 / $365.88	Facility		$231.70	$270.05	$365.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $60.76 / $96.40	Professional		$11.55	$60.76	$96.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $50.17 / $129.77	Professional		$36.63	$50.17	$129.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $56.93 / $81.56 / $4,933.00	Facility		$56.93	$81.56	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $49.90 / $60.40 / $97.51	Professional		$49.90	$60.40	$97.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.45 / $67.94 / $92.00	Professional		$55.45	$67.94	$92.00
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,386.00 / $2,449.00	Facility		$300.00	$1,386.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.82 / $68.59 / $93.57	Professional		$58.82	$68.59	$93.57