Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.99 / $48.99 / $140.00	Facility		$48.99	$48.99	$140.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.32 / $48.99 / $56.31	Professional		$38.32	$48.99	$56.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.70 / $73.70 / $73.70	Facility		$73.70	$73.70	$73.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.33 / $73.70 / $92.13	Professional		$66.33	$73.70	$92.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $54.75 / $128.04	Professional		$44.04	$54.75	$128.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $48.99 / $54.87 / $54.87	Facility		$48.99	$54.87	$54.87
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $47.22 / $54.87 / $66.11	Professional		$47.22	$54.87	$66.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $33.83 / $48.51	Professional		$27.68	$33.83	$48.51
United Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $62.33 / $76.36	Professional		$50.40	$62.33	$76.36