Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.90 / $68.90 / $69.64	Facility		$68.90	$68.90	$69.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.17 / $59.78 / $75.92	Professional		$49.17	$59.78	$75.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.15 / $86.15 / $87.40	Facility		$86.15	$86.15	$87.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.23 / $89.60 / $116.30	Professional		$79.23	$89.60	$116.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $49.00 / $81.77	Professional		$35.00	$49.00	$81.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $68.90 / $71.37 / $71.37	Facility		$68.90	$71.37	$71.37
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $55.11 / $68.90 / $79.34	Professional		$55.11	$68.90	$79.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $30.00 / $55.00	Professional		$27.57	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.48 / $75.64 / $95.03	Professional		$61.48	$75.64	$95.03