Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.04 / $45.04 / $45.04	Facility		$45.04	$45.04	$45.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $45.04 / $47.53	Professional		$28.33	$45.04	$47.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.83 / $178.37 / $339.03	Facility		$85.83	$178.37	$339.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.19 / $61.52 / $76.90	Professional		$56.19	$61.52	$76.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.73 / $31.73 / $85.78	Professional		$31.73	$31.73	$85.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $45.04 / $70.00 / $70.00	Facility		$45.04	$70.00	$70.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $42.88 / $70.00 / $80.44	Professional		$42.88	$70.00	$80.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.28 / $100.00	Professional		$30.00	$50.28	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $28.19 / $46.98	Professional		$21.96	$28.19	$46.98