Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.52 / $65.67 / $65.67	Facility		$47.52	$65.67	$65.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $65.67 / $74.86	Professional		$65.67	$65.67	$74.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.27 / $141.00 / $266.73	Facility		$78.27	$141.00	$266.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $61.28 / $64.51	Professional		$61.28	$61.28	$64.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $72.25 / $72.25	Professional		$56.00	$72.25	$72.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $69.94 / $84.01	Facility		$52.00	$69.94	$84.01
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $69.94 / $83.92	Professional		$65.67	$69.94	$83.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.41 / $110.10 / $110.10	Professional		$84.41	$110.10	$110.10
United Facility/Professional Professional Modifier Low / Median / High Price $73.40 / $82.94 / $90.74	Professional		$73.40	$82.94	$90.74