Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.56 / $209.19 / $1,023.17	Facility		$15.56	$209.19	$1,023.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $15.56 / $15.56	Professional		$3.74	$15.56	$15.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.51 / $95.74 / $170.24	Facility		$69.51	$95.74	$170.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.06 / $64.27 / $77.12	Professional		$61.06	$64.27	$77.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $17.32	Professional		$17.32	$17.32	$17.32
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.84 / $135.11 / $1,023.17	Facility		$15.84	$135.11	$1,023.17
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $3.40 / $15.56	Professional		$0.33	$3.40	$15.56
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 $20.38 / $20.38 / $21.62	Professional		$20.38	$20.38	$21.62