Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.81 / $71.81 / $112.04	Facility		$71.81	$71.81	$112.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.99 / $71.81 / $71.81	Professional		$61.99	$71.81	$71.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.36 / $50.36 / $53.01	Facility		$50.36	$50.36	$53.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $53.01 / $71.56	Professional		$50.36	$53.01	$71.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.42 / $87.14 / $115.13	Professional		$16.42	$87.14	$115.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $22.29 / $71.81 / $131.97	Facility		$22.29	$71.81	$131.97
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.29 / $51.15 / $90.72	Professional		$22.29	$51.15	$90.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $62.60 / $84.51	Professional		$62.60	$62.60	$84.51
United Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $19.04 / $45.36	Professional		$12.57	$19.04	$45.36