Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $44.71 / $109.67	Facility		$35.15	$44.71	$109.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $43.41 / $44.71	Professional		$35.15	$43.41	$44.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.66 / $96.67 / $182.88	Facility		$53.66	$96.67	$182.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $44.23 / $44.23	Professional		$42.02	$44.23	$44.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.57 / $43.41 / $43.41	Professional		$15.57	$43.41	$43.41
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $43.41 / $60.00 / $97.80	Facility		$43.41	$60.00	$97.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $43.41 / $52.09	Professional		$35.15	$43.41	$52.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.23 / $49.92 / $57.58	Professional		$39.23	$49.92	$57.58
United Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $46.05	Professional		$43.41	$43.41	$46.05