Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.46 / $56.46 / $56.46	Facility		$56.46	$56.46	$56.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.69 / $49.66 / $120.00	Professional		$42.69	$49.66	$120.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $221.19 / $439.79 / $849.72	Facility		$221.19	$439.79	$849.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.97 / $155.07 / $182.86	Professional		$138.97	$155.07	$182.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.04 / $61.20 / $115.01	Professional		$42.04	$61.20	$115.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $56.46 / $56.46 / $56.46	Facility		$56.46	$56.46	$56.46
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $44.85 / $56.46 / $120.00	Professional		$44.85	$56.46	$120.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.81 / $57.65 / $88.74	Professional		$44.81	$57.65	$88.74