Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $55.57 / $86.69	Facility		$55.57	$55.57	$86.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $55.57 / $55.57	Professional		$29.25	$55.57	$55.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.02 / $41.02 / $41.02	Facility		$41.02	$41.02	$41.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $41.02 / $45.62	Professional		$38.97	$41.02	$45.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $29.70 / $131.60	Professional		$23.40	$29.70	$131.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $55.03 / $55.57 / $102.11	Facility		$55.03	$55.57	$102.11
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $55.03 / $55.57 / $70.19	Professional		$55.03	$55.57	$70.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.43 / $53.27 / $75.00	Professional		$48.43	$53.27	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $35.09 / $58.49	Professional		$24.57	$35.09	$58.49