Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.81 / $135.81 / $692.17	Facility		$37.81	$135.81	$692.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.63 / $37.18 / $54.64	Professional		$30.63	$37.18	$54.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.36 / $36.50 / $64.90	Facility		$26.36	$36.50	$64.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $47.31 / $67.23	Professional		$22.91	$47.31	$67.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.27 / $50.98 / $90.93	Professional		$26.27	$50.98	$90.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $27.92 / $135.81 / $692.17	Facility		$27.92	$135.81	$692.17
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $27.92 / $37.18 / $55.38	Professional		$27.92	$37.18	$55.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $33.88 / $49.49	Professional		$27.05	$33.88	$49.49
United Facility/Professional Professional Modifier Low / Median / High Price $32.84 / $39.95 / $60.85	Professional		$32.84	$39.95	$60.85