Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.10 / $55.10 / $85.96	Facility		$55.10	$55.10	$85.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $55.10 / $55.10	Professional		$23.42	$55.10	$55.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.05 / $66.18 / $115.23	Facility		$47.05	$66.18	$115.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.32 / $43.50 / $46.55	Professional		$41.32	$43.50	$46.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $26.58 / $130.50	Professional		$12.72	$26.58	$130.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $26.70 / $55.10 / $101.25	Facility		$26.70	$55.10	$101.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $26.70 / $35.01 / $69.59	Professional		$26.70	$35.01	$69.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.02 / $52.82 / $75.00	Professional		$48.02	$52.82	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $23.26 / $34.79	Professional		$12.29	$23.26	$34.79