Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $49.50 / $49.50	Facility		$49.50	$49.50	$49.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $49.50 / $70.00	Professional		$36.85	$49.50	$70.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.48 / $95.17 / $180.02	Facility		$51.48	$95.17	$180.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.36 / $41.36 / $43.54	Professional		$41.36	$41.36	$43.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.29 / $48.76 / $48.76	Professional		$22.29	$48.76	$48.76
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $49.50 / $52.10	Facility		$49.50	$49.50	$52.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $49.50 / $65.79	Professional		$36.85	$49.50	$65.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.37 / $42.37 / $56.92	Professional		$42.37	$42.37	$56.92
United Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $52.10 / $53.83	Professional		$43.54	$52.10	$53.83