Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.73 / $58.73 / $58.73	Facility		$58.73	$58.73	$58.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $49.84 / $58.73	Professional		$42.13	$49.84	$58.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.17 / $82.17 / $82.17	Facility		$82.17	$82.17	$82.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $86.28 / $102.71	Professional		$78.06	$86.28	$102.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $49.10 / $73.81	Professional		$49.10	$49.10	$73.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $55.74 / $55.74 / $58.73	Facility		$55.74	$55.74	$58.73
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $55.74 / $74.09	Professional		$50.59	$55.74	$74.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.37 / $68.73 / $99.27	Professional		$55.37	$68.73	$99.27
United Facility/Professional Professional Modifier Low / Median / High Price $52.78 / $63.91 / $82.20	Professional		$52.78	$63.91	$82.20