Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.80 / $50.80 / $79.25	Facility		$50.80	$50.80	$79.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.98 / $50.80 / $50.80	Professional		$45.98	$50.80	$50.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.49 / $37.49 / $37.49	Facility		$37.49	$37.49	$37.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.61 / $37.49 / $41.70	Professional		$35.61	$37.49	$41.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $44.86 / $120.31	Professional		$22.14	$44.86	$120.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $46.54 / $50.80 / $93.35	Facility		$46.54	$50.80	$93.35
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $45.98 / $47.64 / $64.16	Professional		$45.98	$47.64	$64.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.27 / $48.69 / $75.00	Professional		$44.27	$48.69	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.44 / $29.30 / $48.84	Professional		$21.44	$29.30	$48.84