Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.00 / $57.00 / $88.92	Facility		$57.00	$57.00	$88.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $57.00 / $57.00	Professional		$49.20	$57.00	$57.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.13 / $67.87 / $119.20	Facility		$47.13	$67.87	$119.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $45.00 / $60.75	Professional		$30.60	$45.00	$60.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $68.97 / $86.21	Professional		$12.88	$68.97	$86.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $22.30 / $57.00 / $104.74	Facility		$22.30	$57.00	$104.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $51.30 / $72.00	Professional		$22.30	$51.30	$72.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.71 / $49.68 / $67.06	Professional		$44.71	$49.68	$67.06
United Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $14.39 / $36.00	Professional		$10.27	$14.39	$36.00