Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.22 / $43.22 / $43.22	Facility		$43.22	$43.22	$43.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.46 / $43.22 / $56.57	Professional		$34.46	$43.22	$56.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.45 / $90.69 / $241.18	Facility		$67.45	$90.69	$241.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.57 / $56.99 / $73.28	Professional		$51.57	$56.99	$73.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $41.38 / $41.38	Facility		$41.38	$41.38	$41.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $47.54 / $88.94	Professional		$37.46	$47.54	$88.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $37.32 / $37.32 / $43.22	Facility		$37.32	$37.32	$43.22
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $36.35 / $42.91 / $63.29	Professional		$36.35	$42.91	$63.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $33.67 / $49.19	Professional		$27.68	$33.67	$49.19
United Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $44.01 / $65.15	Professional		$36.76	$44.01	$65.15