Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.19 / $61.19 / $95.46	Facility		$61.19	$61.19	$95.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $61.19 / $61.19	Professional		$52.82	$61.19	$61.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.31 / $48.31 / $48.31	Facility		$48.31	$48.31	$48.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.85 / $48.31 / $65.22	Professional		$32.85	$48.31	$65.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.52 / $73.93 / $94.04	Professional		$49.52	$73.93	$94.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $58.13 / $61.19 / $112.44	Facility		$58.13	$61.19	$112.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $58.39 / $77.29 / $88.87	Professional		$58.39	$77.29	$88.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $53.33 / $71.99	Professional		$30.00	$53.33	$71.99
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $39.50 / $71.17	Professional		$27.05	$39.50	$71.17