Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.38 / $49.02 / $356.40	Facility		$8.38	$49.02	$356.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $25.23 / $35.52	Professional		$24.50	$25.23	$35.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.28 / $54.56 / $103.20	Facility		$30.28	$54.56	$103.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.71 / $24.96 / $24.96	Professional		$23.71	$24.96	$24.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $24.50 / $24.50	Professional		$3.99	$24.50	$24.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $8.38 / $36.75 / $356.40	Facility		$8.38	$36.75	$356.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $25.23 / $29.40	Professional		$24.50	$25.23	$29.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.17 / $28.18 / $28.19	Professional		$28.17	$28.18	$28.19
United Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $25.99	Professional		$24.50	$24.50	$25.99