Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.03 / $73.03 / $73.03	Facility		$73.03	$73.03	$73.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.23 / $73.03 / $97.24	Professional		$50.23	$73.03	$97.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.01 / $57.81 / $105.29	Facility		$29.01	$57.81	$105.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.64 / $83.90 / $108.90	Professional		$76.64	$83.90	$108.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.07 / $81.89 / $113.06	Professional		$49.07	$81.89	$113.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $57.09 / $57.09 / $73.03	Facility		$57.09	$57.09	$73.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $57.09 / $62.18 / $81.00	Professional		$57.09	$62.18	$81.00
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 $62.02 / $76.23 / $103.88	Professional		$62.02	$76.23	$103.88