Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.76 / $55.76 / $231.00	Facility		$55.76	$55.76	$231.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.91 / $49.12 / $56.07	Professional		$41.91	$49.12	$56.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.63 / $146.63 / $166.91	Facility		$130.63	$146.63	$166.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $152.51 / $191.95	Professional		$120.00	$152.51	$191.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.21 / $56.37 / $121.98	Professional		$46.21	$56.37	$121.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $54.76 / $54.76 / $55.76	Facility		$54.76	$54.76	$55.76
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $44.62 / $54.91 / $71.80	Professional		$44.62	$54.91	$71.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $30.00 / $75.00	Professional		$27.49	$30.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.58 / $62.51 / $79.42	Professional		$50.58	$62.51	$79.42