Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.89 / $73.89 / $115.27	Facility		$73.89	$73.89	$115.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.63 / $73.89 / $77.78	Professional		$49.63	$73.89	$77.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.81 / $87.19 / $154.54	Facility		$60.81	$87.19	$154.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $58.34 / $78.76	Professional		$39.67	$58.34	$78.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.01 / $89.21 / $111.51	Professional		$29.01	$89.21	$111.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $50.22 / $73.89 / $135.77	Facility		$50.22	$73.89	$135.77
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $50.22 / $70.00 / $93.33	Professional		$50.22	$70.00	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $64.40 / $86.94	Professional		$30.00	$64.40	$86.94
United Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $32.42 / $46.67	Professional		$23.13	$32.42	$46.67