Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.46 / $47.46 / $47.46	Facility		$47.46	$47.46	$47.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.63 / $47.46 / $49.83	Professional		$26.63	$47.46	$49.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.43 / $187.93 / $357.20	Facility		$90.43	$187.93	$357.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.20 / $64.81 / $84.13	Professional		$59.20	$64.81	$84.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $25.43 / $76.72	Professional		$21.50	$25.43	$76.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $45.04 / $45.04 / $51.79	Facility		$45.04	$45.04	$51.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $43.09 / $45.04 / $74.78	Professional		$43.09	$45.04	$74.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $75.00 / $100.00	Professional		$30.00	$75.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.03 / $29.27 / $44.62	Professional		$22.03	$29.27	$44.62