Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.72 / $74.72 / $116.56	Facility		$74.72	$74.72	$116.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $74.72 / $74.72	Professional		$64.48	$74.72	$74.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.49 / $88.97 / $156.26	Facility		$61.49	$88.97	$156.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $58.99 / $79.64	Professional		$40.11	$58.99	$79.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $90.45 / $113.06	Professional		$25.12	$90.45	$113.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $52.69 / $74.72 / $137.30	Facility		$52.69	$74.72	$137.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $71.13 / $94.38	Professional		$52.69	$71.13	$94.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.61 / $65.13 / $87.92	Professional		$58.61	$65.13	$87.92
United Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $33.17 / $55.69	Professional		$24.26	$33.17	$55.69