Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.07 / $171.82 / $4,167.70	Facility		$55.07	$171.82	$4,167.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.64 / $45.05 / $61.09	Professional		$34.64	$45.05	$61.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.23 / $34.45 / $61.27	Facility		$24.23	$34.45	$61.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $24.06 / $28.91	Professional		$21.97	$24.06	$28.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.74 / $88.54 / $88.54	Professional		$41.74	$88.54	$88.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $107.39 / $3,750.36	Facility		$42.84	$107.39	$3,750.36
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $42.84 / $55.69	Professional		$35.56	$42.84	$55.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $42.84 / $45.45	Professional		$42.84	$42.84	$45.45