Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.43 / $50.43 / $182.00	Facility		$50.43	$50.43	$182.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $46.13 / $55.75	Professional		$37.86	$46.13	$55.75
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 / $44.04 / $88.53	Professional		$44.04	$44.04	$88.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $50.43 / $55.46 / $55.46	Facility		$50.43	$55.46	$55.46
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $41.53 / $52.94 / $62.15	Professional		$41.53	$52.94	$62.15
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 $52.16 / $61.14 / $76.87	Professional		$52.16	$61.14	$76.87