Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.27 / $42.27 / $42.27	Facility		$42.27	$42.27	$42.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $42.27 / $50.59	Professional		$30.71	$42.27	$50.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.52 / $120.52 / $120.52	Facility		$120.52	$120.52	$120.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.49 / $162.69 / $216.94	Professional		$114.49	$162.69	$216.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.53 / $16.30 / $19.53	Professional		$15.53	$16.30	$19.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $42.27 / $96.07 / $96.07	Facility		$42.27	$96.07	$96.07
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $42.27 / $96.07 / $112.40	Professional		$42.27	$96.07	$112.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.96 / $100.07 / $153.97	Professional		$44.96	$100.07	$153.97