Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.59 / $57.59 / $57.59	Facility		$57.59	$57.59	$57.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.42 / $57.59 / $63.50	Professional		$35.42	$57.59	$63.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.24 / $34.86 / $34.86	Facility		$33.24	$34.86	$34.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $36.61 / $44.87	Professional		$31.58	$36.61	$44.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.67 / $94.12 / $198.63	Professional		$80.67	$94.12	$198.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $61.95 / $61.95	Facility		$19.55	$61.95	$61.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $57.59 / $61.95 / $72.48	Professional		$57.59	$61.95	$72.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $25.29 / $34.70 / $60.00	Facility		$25.29	$34.70	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $72.00 / $99.00	Professional		$57.60	$72.00	$99.00