Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.36 / $39.36 / $122.83	Facility		$39.36	$39.36	$122.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $39.36 / $41.83	Professional		$39.36	$39.36	$41.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $151.03 / $281.86	Facility		$81.70	$151.03	$281.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.65 / $69.09 / $93.29	Professional		$65.65	$69.09	$93.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.86 / $21.86 / $25.72	Facility		$21.86	$21.86	$25.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $25.72 / $31.98	Professional		$21.86	$25.72	$31.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $25.22 / $49.21 / $122.83	Facility		$25.22	$49.21	$122.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $25.22 / $30.26 / $41.83	Professional		$25.22	$30.26	$41.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $1,500.00	Professional		$30.00	$50.00	$1,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $71.44 / $72.88	Professional		$28.58	$71.44	$72.88