Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.88 / $83.88 / $104.85	Facility		$83.88	$83.88	$104.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $77.95 / $92.83	Professional		$59.58	$77.95	$92.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $6.45 / $11.47	Facility		$4.54	$6.45	$11.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.11 / $4.50 / $5.41	Professional		$4.11	$4.50	$5.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $55.50 / $153.31	Professional		$34.79	$55.50	$153.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $64.16 / $83.88 / $154.13	Facility		$64.16	$83.88	$154.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $64.16 / $76.01 / $115.92	Professional		$64.16	$76.01	$115.92
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 Facility Modifier Low / Median / High Price $33.84 / $33.84 / $56.48	Facility		$33.84	$33.84	$56.48
United Facility/Professional Professional Modifier Low / Median / High Price $32.92 / $43.35 / $63.93	Professional		$32.92	$43.35	$63.93