Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.75 / $68.63 / $142.74	Facility		$45.75	$68.63	$142.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.94 / $45.75 / $71.39	Professional		$35.94	$45.75	$71.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.76 / $59.76 / $59.76	Facility		$59.76	$59.76	$59.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.80 / $62.75 / $80.68	Professional		$50.80	$62.75	$80.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.11 / $45.11 / $45.11	Facility		$45.11	$45.11	$45.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $52.26 / $92.00	Professional		$30.75	$52.26	$92.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $31.97 / $108.08 / $312.72	Facility		$31.97	$108.08	$312.72
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $31.97 / $43.23 / $68.63	Professional		$31.97	$43.23	$68.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $32.89 / $44.67	Professional		$26.52	$32.89	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $41.53 / $41.53 / $41.53	Facility		$41.53	$41.53	$41.53
United Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $43.31 / $66.45	Professional		$33.52	$43.31	$66.45