Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $86.27 / $366.08	Facility		$35.90	$86.27	$366.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.74 / $35.18 / $63.34	Professional		$27.74	$35.18	$63.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.19 / $79.20 / $155.53	Facility		$42.19	$79.20	$155.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $50.06 / $104.12	Professional		$11.45	$50.06	$104.12
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 $24.49 / $35.78 / $66.87	Professional		$24.49	$35.78	$66.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $26.74 / $73.02 / $366.08	Facility		$26.74	$73.02	$366.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $26.08 / $34.40 / $57.62	Professional		$26.08	$34.40	$57.62
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 Professional Modifier Low / Median / High Price $25.01 / $29.67 / $44.66	Professional		$25.01	$29.67	$44.66