Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $72.12 / $478.82	Facility		$1.69	$72.12	$478.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.56 / $72.12 / $72.12	Professional		$57.56	$72.12	$72.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.00 / $186.20 / $331.11	Facility		$136.00	$186.20	$331.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.75 / $125.00 / $150.00	Professional		$118.75	$125.00	$150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $80.29 / $199.47	Professional		$80.29	$80.29	$199.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $73.41 / $329.76	Facility		$1.69	$73.41	$329.76
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $72.12 / $96.37 / $115.64	Professional		$72.12	$96.37	$115.64
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 $24.79 / $60.05 / $107.87	Professional		$24.79	$60.05	$107.87