Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.76 / $52.76 / $82.31	Facility		$52.76	$52.76	$82.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.54 / $52.76 / $52.76	Professional		$45.54	$52.76	$52.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.63 / $62.83 / $110.35	Facility		$43.63	$62.83	$110.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $41.66 / $56.24	Professional		$28.33	$41.66	$56.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.94 / $67.73 / $84.66	Professional		$37.94	$67.73	$84.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $52.25 / $52.76 / $96.95	Facility		$52.25	$52.76	$96.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $52.25 / $52.76 / $66.64	Professional		$52.25	$52.76	$66.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.39 / $45.99 / $62.08	Professional		$41.39	$45.99	$62.08
United Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $33.32 / $55.54	Professional		$23.33	$33.32	$55.54