Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.96 / $35.96 / $35.96	Facility		$35.96	$35.96	$35.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $35.96 / $38.20	Professional		$35.96	$35.96	$38.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,157.53 / $6,397.47 / $12,807.70	Facility		$4,157.53	$6,397.47	$12,807.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $22.64 / $37.25	Professional		$5.76	$22.64	$37.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.67 / $44.94 / $57.23	Professional		$40.67	$44.94	$57.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $35.96 / $43.34 / $67.41	Facility		$35.96	$43.34	$67.41
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $43.34 / $56.83	Professional		$35.96	$43.34	$56.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $51.68 / $80.89	Professional		$44.94	$51.68	$80.89
United Facility/Professional Professional Modifier Low / Median / High Price $50.94 / $50.94 / $54.05	Professional		$50.94	$50.94	$54.05