Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $63.20	Facility		$42.13	$42.13	$63.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Professional		$42.13	$42.13	$42.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.13 / $62.76 / $111.60	Facility		$44.13	$62.76	$111.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.65 / $42.13 / $56.88	Professional		$28.65	$42.13	$56.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $48.40 / $60.50	Professional		$22.45	$48.40	$60.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $40.02 / $42.13 / $77.41	Facility		$40.02	$42.13	$77.41
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $52.66	Professional		$42.13	$42.13	$52.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $52.33 / $52.33	Professional		$47.10	$52.33	$52.33
United Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $23.18 / $38.15	Professional		$17.69	$23.18	$38.15