Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.54 / $37.54 / $37.54	Facility		$37.54	$37.54	$37.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $37.54 / $43.69	Professional		$27.05	$37.54	$43.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $326.64 / $632.79 / $1,222.59	Facility		$326.64	$632.79	$1,222.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.97 / $221.01 / $263.11	Professional		$199.97	$221.01	$263.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.19 / $35.19 / $66.98	Professional		$35.19	$35.19	$66.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $37.54 / $217.25 / $217.25	Facility		$37.54	$217.25	$217.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $121.85 / $217.25	Professional		$37.54	$121.85	$217.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.26 / $49.85 / $70.34	Professional		$38.26	$49.85	$70.34