Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.60 / $358.80 / $358.80	Facility		$140.60	$358.80	$358.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.80 / $358.80 / $381.23	Professional		$358.80	$358.80	$381.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $16.18 / $28.77	Facility		$11.75	$16.18	$28.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $10.86 / $13.03	Professional		$10.32	$10.86	$13.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $381.23 / $381.23	Professional		$80.75	$381.23	$381.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $85.50 / $95.00 / $190.00	Facility		$85.50	$95.00	$190.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $95.00 / $358.80	Professional		$95.00	$95.00	$358.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $390.00 / $421.20	Professional		$390.00	$390.00	$421.20