Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.67 / $37.67 / $396.00	Facility		$37.67	$37.67	$396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $37.50 / $37.67	Professional		$25.12	$37.50	$37.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.72 / $343.41 / $663.49	Facility		$172.72	$343.41	$663.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.06 / $122.17 / $122.17	Professional		$116.06	$122.17	$122.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $28.61 / $122.17	Professional		$25.50	$28.61	$122.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $34.59 / $34.59 / $37.67	Facility		$34.59	$34.59	$37.67
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $27.65 / $36.69 / $44.02	Professional		$27.65	$36.69	$44.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $140.49 / $140.49 / $140.49	Professional		$140.49	$140.49	$140.49
United Facility/Professional Facility Modifier Low / Median / High Price $38.88 / $45.74 / $54.89	Facility		$38.88	$45.74	$54.89
United Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $35.39 / $54.92	Professional		$19.30	$35.39	$54.92