Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.98 / $60.98 / $95.13	Facility		$60.98	$60.98	$95.13
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 $22.82 / $73.51 / $91.89	Professional		$22.82	$73.51	$91.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $38.35 / $60.98 / $112.05	Facility		$38.35	$60.98	$112.05
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $38.35 / $57.93 / $77.02	Professional		$38.35	$57.93	$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 Facility Modifier Low / Median / High Price $26.96 / $57.77 / $77.03	Facility		$26.96	$57.77	$77.03
United Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $24.48 / $38.51	Professional		$17.14	$24.48	$38.51