Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.74 / $48.74 / $89.56	Facility		$48.74	$48.74	$89.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $48.74 / $52.07	Professional		$44.13	$48.74	$52.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.62 / $58.54 / $101.93	Facility		$41.62	$58.54	$101.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.56 / $38.47 / $41.17	Professional		$36.56	$38.47	$41.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $37.89 / $77.95	Professional		$26.09	$37.89	$77.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $46.30 / $48.74 / $89.56	Facility		$46.30	$48.74	$89.56
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $48.74 / $59.60 / $69.27	Professional		$48.74	$59.60	$69.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $46.73 / $76.48	Professional		$42.49	$46.73	$76.48
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $38.01 / $63.35	Professional		$21.55	$38.01	$63.35