Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.64 / $61.64 / $96.16	Facility		$61.64	$61.64	$96.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.20 / $61.64 / $61.64	Professional		$53.20	$61.64	$61.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.97 / $73.39 / $128.90	Facility		$50.97	$73.39	$128.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.09 / $48.66 / $65.69	Professional		$33.09	$48.66	$65.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.88 / $74.75 / $93.44	Professional		$49.88	$74.75	$93.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $58.56 / $61.64 / $113.26	Facility		$58.56	$61.64	$113.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $61.64 / $77.84 / $90.83	Professional		$61.64	$77.84	$90.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $53.72 / $72.52	Professional		$48.34	$53.72	$72.52
United Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $41.52 / $71.69	Professional		$27.25	$41.52	$71.69