Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.10 / $55.10 / $85.96	Facility		$55.10	$55.10	$85.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.56 / $55.10 / $55.10	Professional		$47.56	$55.10	$55.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.56 / $65.61 / $115.23	Facility		$45.56	$65.61	$115.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $43.50 / $58.73	Professional		$29.58	$43.50	$58.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $70.00 / $83.12	Professional		$58.00	$70.00	$83.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $52.35 / $55.10 / $101.25	Facility		$52.35	$55.10	$101.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $69.59 / $81.68	Professional		$55.10	$69.59	$81.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.21 / $48.02 / $64.82	Professional		$43.21	$48.02	$64.82
United Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $34.79 / $47.89	Professional		$24.36	$34.79	$47.89