Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.79 / $42.63 / $239.93	Facility		$32.79	$42.63	$239.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.75 / $133.16 / $239.93	Professional		$21.75	$133.16	$239.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $283.83 / $529.66 / $1,001.96	Facility		$283.83	$529.66	$1,001.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.91 / $30.85 / $36.72	Professional		$27.91	$30.85	$36.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.31 / $139.71 / $407.59	Professional		$23.31	$139.71	$407.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $34.04 / $186.69 / $239.93	Facility		$34.04	$186.69	$239.93
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $186.69 / $243.96	Professional		$32.79	$186.69	$243.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.09 / $134.17 / $196.46	Professional		$106.09	$134.17	$196.46
United Facility/Professional Professional Modifier Low / Median / High Price $175.62 / $208.60 / $267.25	Professional		$175.62	$208.60	$267.25