Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.17 / $54.39 / $85.66	Facility		$43.17	$54.39	$85.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $43.20 / $67.98	Professional		$34.22	$43.20	$67.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.72 / $151.97 / $298.39	Facility		$71.72	$151.97	$298.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $57.52 / $68.48	Professional		$52.04	$57.52	$68.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $61.66 / $175.82	Professional		$38.11	$61.66	$175.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $50.02 / $50.02 / $85.66	Facility		$50.02	$50.02	$85.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $43.17 / $54.39 / $76.94	Professional		$43.17	$54.39	$76.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $67.88 / $97.88	Professional		$54.60	$67.88	$97.88
United Facility/Professional Professional Modifier Low / Median / High Price $44.74 / $56.92 / $85.16	Professional		$44.74	$56.92	$85.16