Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.12 / $94.12 / $94.12	Facility		$94.12	$94.12	$94.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $80.23 / $94.12	Professional		$64.05	$80.23	$94.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.94 / $41.10 / $47.27	Facility		$34.94	$41.10	$47.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $39.46 / $50.58	Professional		$34.94	$39.46	$50.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $75.00 / $120.75	Professional		$55.00	$75.00	$120.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $77.94 / $77.94 / $94.12	Facility		$77.94	$77.94	$94.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $81.29 / $94.50	Professional		$74.90	$81.29	$94.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.43 / $93.07 / $126.34	Professional		$78.43	$93.07	$126.34