Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.07 / $58.30 / $261.80	Facility		$31.07	$58.30	$261.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $31.07 / $33.11	Professional		$28.18	$31.07	$33.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $67.17 / $127.06	Facility		$37.28	$67.17	$127.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $16.38 / $16.38	Professional		$15.56	$16.38	$16.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $30.17 / $43.63	Professional		$3.79	$30.17	$43.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $30.17 / $55.94 / $261.80	Facility		$30.17	$55.94	$261.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $30.17 / $36.20	Professional		$28.18	$30.17	$36.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.46 / $33.85 / $34.69	Professional		$31.46	$33.85	$34.69
United Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $30.17 / $32.01	Professional		$30.17	$30.17	$32.01