Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $16.29 / $16.29	Facility		$16.29	$16.29	$16.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.29 / $16.29 / $307.51	Professional		$16.29	$16.29	$307.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.52 / $419.44 / $810.40	Facility		$216.52	$419.44	$810.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.54 / $146.50 / $174.40	Professional		$132.54	$146.50	$174.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.33 / $281.33 / $281.33	Professional		$281.33	$281.33	$281.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $207.85 / $207.85	Facility		$16.29	$207.85	$207.85
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $16.29 / $207.85 / $280.58	Professional		$16.29	$207.85	$280.58
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 $117.05 / $117.05 / $249.47	Professional		$117.05	$117.05	$249.47