Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.22 / $40.22 / $126.54	Facility		$40.22	$40.22	$126.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.26 / $57.14 / $126.54	Professional		$30.26	$57.14	$126.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $237.19 / $471.58 / $938.49	Facility		$237.19	$471.58	$938.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.47 / $49.15 / $63.19	Professional		$44.47	$49.15	$63.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.93 / $50.93 / $50.93	Facility		$50.93	$50.93	$50.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.28 / $63.94 / $189.58	Professional		$31.28	$63.94	$189.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $40.22 / $56.31 / $126.54	Facility		$40.22	$56.31	$126.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $64.19 / $154.03	Professional		$40.22	$64.19	$154.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.54 / $131.84 / $186.37	Professional		$107.54	$131.84	$186.37
United Facility/Professional Professional Modifier Low / Median / High Price $59.13 / $73.02 / $118.27	Professional		$59.13	$73.02	$118.27