Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.46 / $98.68 / $9,178.26	Facility		$55.46	$98.68	$9,178.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.46 / $57.53 / $63.29	Professional		$55.46	$57.53	$63.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.26 / $76.09 / $135.33	Facility		$55.26	$76.09	$135.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.54 / $51.09 / $61.31	Professional		$48.54	$51.09	$61.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $58.93 / $66.11	Professional		$58.93	$58.93	$66.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $61.25 / $69.33 / $11,224.98	Facility		$61.25	$69.33	$11,224.98
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $55.46 / $61.25 / $76.56	Professional		$55.46	$61.25	$76.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $57.78 / $62.40	Professional		$57.78	$57.78	$62.40