Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.98 / $60.98 / $93.24	Facility		$60.98	$60.98	$93.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $60.98 / $60.98	Professional		$52.64	$60.98	$60.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.42 / $72.59 / $127.52	Facility		$50.42	$72.59	$127.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.74 / $48.14 / $64.98	Professional		$32.74	$48.14	$64.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.43 / $73.51 / $91.89	Professional		$30.43	$73.51	$91.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $51.14 / $60.98 / $106.72	Facility		$51.14	$60.98	$106.72
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $51.14 / $60.98 / $77.02	Professional		$51.14	$60.98	$77.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.83 / $53.15 / $71.75	Professional		$47.83	$53.15	$71.75
United Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $32.57 / $41.08	Professional		$22.85	$32.57	$41.08