Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.09 / $79.09 / $79.09	Facility		$79.09	$79.09	$79.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.17 / $68.09 / $79.09	Professional		$54.17	$68.09	$79.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.49 / $55.49 / $55.49	Facility		$55.49	$55.49	$55.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.72 / $58.26 / $74.91	Professional		$52.72	$58.26	$74.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.87 / $100.96 / $200.73	Professional		$67.87	$100.96	$200.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $66.23 / $66.23 / $79.09	Facility		$66.23	$66.23	$79.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $59.82 / $68.34 / $79.09	Professional		$59.82	$68.34	$79.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.64 / $80.45 / $107.28	Professional		$63.64	$80.45	$107.28