Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.13 / $50.13 / $50.13	Facility		$50.13	$50.13	$50.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $50.13 / $56.04	Professional		$38.40	$50.13	$56.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.60 / $256.87 / $488.23	Facility		$123.60	$256.87	$488.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.92 / $88.59 / $110.73	Professional		$80.92	$88.59	$110.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $43.49 / $77.84	Professional		$25.87	$43.49	$77.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $30.79 / $30.79 / $50.13	Facility		$30.79	$30.79	$50.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $30.79 / $85.18	Professional		$30.79	$30.79	$85.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.12 / $59.93 / $93.81	Professional		$52.12	$59.93	$93.81
United Facility/Professional Professional Modifier Low / Median / High Price $28.28 / $40.00 / $65.48	Professional		$28.28	$40.00	$65.48