Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.20 / $74.20 / $92.75	Facility		$74.20	$74.20	$92.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $68.95 / $82.12	Professional		$52.59	$68.95	$82.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.83 / $5.09	Facility		$2.00	$2.83	$5.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.00 / $2.40	Professional		$1.82	$2.00	$2.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.40 / $49.10 / $139.22	Professional		$28.40	$49.10	$139.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $56.63 / $74.20 / $136.34	Facility		$56.63	$74.20	$136.34
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $56.63 / $67.23 / $102.02	Professional		$56.63	$67.23	$102.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $38.35 / $56.43	Professional		$24.73	$38.35	$56.43