Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.70 / $39.70 / $39.70	Facility		$39.70	$39.70	$39.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $39.70 / $39.70	Professional		$38.54	$39.70	$39.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,248.33 / $1,920.88 / $3,845.59	Facility		$1,248.33	$1,920.88	$3,845.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $17.30 / $22.49	Professional		$3.46	$17.30	$22.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.63 / $38.54 / $57.07	Professional		$19.63	$38.54	$57.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $39.70 / $64.48	Facility		$38.54	$39.70	$64.48
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $48.18	Professional		$38.54	$38.54	$48.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.39 / $54.03 / $68.14	Professional		$42.39	$54.03	$68.14
United Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $40.89	Professional		$38.54	$38.54	$40.89