Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.64 / $47.64 / $71.04	Facility		$47.64	$47.64	$71.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.36 / $51.00 / $81.13	Professional		$41.36	$51.00	$81.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.27 / $97.77 / $184.95	Facility		$54.27	$97.77	$184.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $42.49 / $44.73	Professional		$42.49	$42.49	$44.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.78 / $50.10 / $50.10	Professional		$22.78	$50.10	$50.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $47.41 / $47.64 / $71.04	Facility		$47.41	$47.64	$71.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $41.34 / $47.64 / $74.02	Professional		$41.34	$47.64	$74.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.61 / $53.61 / $69.93	Professional		$53.61	$53.61	$69.93
United Facility/Professional Professional Modifier Low / Median / High Price $44.73 / $53.53 / $55.47	Professional		$44.73	$53.53	$55.47