Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.52 / $77.81 / $214.08	Professional		$69.52	$77.81	$214.08
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $425.00 / $425.00 / $425.00	Professional	25	$425.00	$425.00	$425.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.68 / $89.14 / $95.34	Professional		$84.68	$89.14	$95.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.55 / $107.59 / $135.87	Professional		$62.55	$107.59	$135.87
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $75.73 / $234.38	Professional		$67.45	$75.73	$234.38
Health Alliance Plan Facility/Professional Professional Modifier 25 Low / Median / High Price $425.00 / $425.00 / $425.00	Professional	25	$425.00	$425.00	$425.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $67.55 / $82.05	Professional		$57.73	$67.55	$82.05
United Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $77.76 / $121.45	Professional		$66.84	$77.76	$121.45