Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.12 / $65.12 / $101.59	Facility		$65.12	$65.12	$101.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.95 / $65.12 / $65.12	Professional		$58.95	$65.12	$65.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.61 / $78.22 / $136.18	Facility		$55.61	$78.22	$136.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.84 / $51.41 / $55.01	Professional		$48.84	$51.41	$55.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.41 / $35.74 / $104.29	Professional		$27.41	$35.74	$104.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $55.98 / $65.12 / $119.66	Facility		$55.98	$65.12	$119.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $58.95 / $82.26	Professional		$55.98	$58.95	$82.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $62.43 / $76.62	Professional		$56.76	$62.43	$76.62
United Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $35.72 / $59.55	Professional		$25.01	$35.72	$59.55