Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $35.90 / $162.34	Facility		$35.90	$35.90	$162.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $33.22 / $56.05	Professional		$27.73	$33.22	$56.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.02 / $78.83 / $143.22	Facility		$45.02	$78.83	$143.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $52.06 / $126.37	Professional		$13.17	$52.06	$126.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Facility		$35.40	$35.40	$35.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.43 / $36.28 / $66.87	Professional		$24.43	$36.28	$66.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $22.63 / $35.90 / $162.34	Facility		$22.63	$35.90	$162.34
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $33.84 / $56.05	Professional		$22.63	$33.84	$56.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $32.80 / $45.08	Professional		$26.17	$32.80	$45.08
United Facility/Professional Facility Modifier Low / Median / High Price $108.97 / $108.97 / $108.97	Facility		$108.97	$108.97	$108.97
United Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $30.00 / $46.02	Professional		$25.01	$30.00	$46.02