Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.67 / $31.67 / $40.29	Facility		$31.67	$31.67	$40.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $31.67 / $171.40	Professional		$22.01	$31.67	$171.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.81 / $46.81 / $46.81	Facility		$46.81	$46.81	$46.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.47 / $48.68 / $63.19	Professional		$44.47	$48.68	$63.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $27.97 / $36.21	Professional		$27.97	$27.97	$36.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $20.97 / $20.97 / $40.29	Facility		$20.97	$20.97	$40.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.97 / $31.26 / $49.26	Professional		$20.97	$31.26	$49.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.87 / $34.60 / $49.83	Professional		$27.87	$34.60	$49.83
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,428.00 / $2,029.00	Facility		$464.00	$1,428.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $36.95 / $53.71	Professional		$27.58	$36.95	$53.71