Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.76 / $57.76 / $90.11	Facility		$57.76	$57.76	$90.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.86 / $57.76 / $57.76	Professional		$49.86	$57.76	$57.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.76 / $68.77 / $120.79	Facility		$47.76	$68.77	$120.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.01 / $45.60 / $61.56	Professional		$31.01	$45.60	$61.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $69.80 / $87.25	Professional		$9.22	$69.80	$87.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.97 / $57.76 / $106.13	Facility		$15.97	$57.76	$106.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $52.29 / $72.95	Professional		$15.97	$52.29	$72.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.30 / $50.34 / $67.95	Professional		$45.30	$50.34	$67.95
United Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $10.31 / $36.47	Professional		$7.36	$10.31	$36.47