Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.99 / $63.99 / $99.82	Facility		$63.99	$63.99	$99.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.24 / $63.99 / $63.99	Professional		$55.24	$63.99	$63.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.66 / $76.19 / $133.82	Facility		$52.66	$76.19	$133.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.35 / $50.52 / $68.20	Professional		$34.35	$50.52	$68.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.79 / $77.23 / $96.79	Professional		$51.79	$77.23	$96.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $60.79 / $63.99 / $117.58	Facility		$60.79	$63.99	$117.58
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $60.79 / $80.83 / $94.30	Professional		$60.79	$80.83	$94.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $55.77 / $75.28	Professional		$50.19	$55.77	$75.28
United Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $43.11 / $58.44	Professional		$28.29	$43.11	$58.44