Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.70 / $68.70 / $727.35	Facility		$68.70	$68.70	$727.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.18 / $63.41 / $73.73	Professional		$49.18	$63.41	$73.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.21 / $56.21 / $102.38	Facility		$28.21	$56.21	$102.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.43 / $78.20 / $101.51	Professional		$71.43	$78.20	$101.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.62 / $76.95 / $107.35	Professional		$46.62	$76.95	$107.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $55.52 / $55.52 / $68.70	Facility		$55.52	$55.52	$68.70
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $55.52 / $57.51 / $76.86	Professional		$55.52	$57.51	$76.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.09 / $35.19 / $50.08	Professional		$28.09	$35.19	$50.08
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.36 / $73.63 / $98.69	Professional		$56.36	$73.63	$98.69