Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.85 / $64.53 / $146.94	Facility		$50.85	$64.53	$146.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.28 / $46.53 / $66.53	Professional		$41.28	$46.53	$66.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $63.74 / $122.86	Facility		$33.86	$63.74	$122.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $66.93 / $79.68	Professional		$58.40	$66.93	$79.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.88 / $67.55 / $178.40	Professional		$41.88	$67.55	$178.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $64.53 / $146.94	Facility		$45.71	$64.53	$146.94
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $42.07 / $50.85 / $73.00	Professional		$42.07	$50.85	$73.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $33.83 / $49.63	Professional		$27.57	$33.83	$49.63
United Facility/Professional Facility Modifier Low / Median / High Price $42.42 / $42.42 / $42.42	Facility		$42.42	$42.42	$42.42
United Facility/Professional Professional Modifier Low / Median / High Price $45.02 / $52.29 / $74.03	Professional		$45.02	$52.29	$74.03