Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.15 / $21.15 / $494.96	Facility		$21.15	$21.15	$494.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.63 / $25.56 / $494.96	Professional		$19.63	$25.56	$494.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.40 / $26.40 / $26.40	Facility		$26.40	$26.40	$26.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $27.46 / $35.64	Professional		$25.08	$27.46	$35.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $80.70 / $491.02	Professional		$10.25	$80.70	$491.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $21.15 / $91.47 / $494.96	Facility		$21.15	$91.47	$494.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $102.44 / $494.96	Professional		$21.15	$102.44	$494.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $325.18 / $403.49 / $568.34	Professional		$325.18	$403.49	$568.34
United Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $112.96 / $314.61	Professional		$64.56	$112.96	$314.61