Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.32 / $86.32 / $86.32	Facility		$86.32	$86.32	$86.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $86.32 / $86.32	Professional		$34.47	$86.32	$86.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.54 / $113.54 / $113.54	Facility		$113.54	$113.54	$113.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.86 / $118.08 / $153.28	Professional		$107.86	$118.08	$153.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $71.19 / $336.66	Professional		$48.56	$71.19	$336.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $33.00 / $33.00 / $86.32	Facility		$33.00	$33.00	$86.32
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $67.19 / $87.26	Professional		$33.00	$67.19	$87.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.19 / $67.24 / $94.72	Professional		$54.19	$67.24	$94.72
United Facility/Professional Facility Modifier Low / Median / High Price $78.84 / $78.84 / $78.84	Facility		$78.84	$78.84	$78.84
United Facility/Professional Professional Modifier Low / Median / High Price $33.74 / $46.71 / $91.88	Professional		$33.74	$46.71	$91.88