Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.53 / $52.53 / $52.53	Facility		$52.53	$52.53	$52.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $52.53 / $52.53	Professional		$51.00	$52.53	$52.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,285.57 / $3,516.95 / $7,040.91	Facility		$2,285.57	$3,516.95	$7,040.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $12.75 / $22.55	Professional		$3.33	$12.75	$22.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $51.00 / $63.42	Professional		$12.75	$51.00	$63.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $52.53 / $80.93	Facility		$51.00	$52.53	$80.93
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $61.20	Professional		$51.00	$51.00	$61.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $59.13 / $72.57	Professional		$51.00	$59.13	$72.57
United Facility/Professional Professional Modifier Low / Median / High Price $49.79 / $51.00 / $54.11	Professional		$49.79	$51.00	$54.11