Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.03 / $26.03 / $407.97	Facility		$26.03	$26.03	$407.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $159.31 / $407.97	Professional		$26.03	$159.31	$407.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $624.28 / $881.64 / $2,435.12	Facility		$624.28	$881.64	$2,435.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $32.61 / $42.35	Professional		$29.80	$32.61	$42.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.54 / $103.43 / $544.20	Professional		$19.54	$103.43	$544.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $26.03 / $328.70 / $407.97	Facility		$26.03	$328.70	$407.97
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $328.70 / $417.79	Professional		$26.03	$328.70	$417.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $270.98 / $335.43 / $473.62	Professional		$270.98	$335.43	$473.62
United Facility/Professional Professional Modifier Low / Median / High Price $44.42 / $186.82 / $313.07	Professional		$44.42	$186.82	$313.07