Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.09 / $123.05 / $383.92	Facility		$26.09	$123.05	$383.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $26.09 / $144.56	Professional		$25.33	$26.09	$144.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.30 / $56.39 / $106.68	Facility		$31.30	$56.39	$106.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.96 / $15.75 / $15.75	Professional		$14.96	$15.75	$15.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $360.83	Professional		$25.33	$25.33	$360.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $119.47 / $383.92	Facility		$25.33	$119.47	$383.92
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $26.09 / $125.27	Professional		$25.33	$26.09	$125.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.72 / $29.12 / $137.39	Professional		$28.72	$29.12	$137.39
United Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $28.20 / $32.43	Professional		$25.33	$28.20	$32.43