Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.08 / $55.65 / $1,022.85	Facility		$30.08	$55.65	$1,022.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $31.96	Professional		$30.08	$30.08	$31.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.94 / $85.31 / $151.69	Facility		$61.94	$85.31	$151.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.41 / $57.27 / $68.72	Professional		$54.41	$57.27	$68.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.96 / $31.96 / $31.96	Professional		$31.96	$31.96	$31.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $33.84 / $37.60 / $1,022.85	Facility		$33.84	$37.60	$1,022.85
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $37.60 / $45.12	Professional		$30.08	$37.60	$45.12
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 $37.60 / $37.60 / $39.89	Professional		$37.60	$37.60	$39.89