Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.34 / $51.34 / $160.18	Facility		$51.34	$51.34	$160.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.34 / $51.34 / $59.81	Professional		$51.34	$51.34	$59.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.04 / $115.36 / $218.23	Facility		$64.04	$115.36	$218.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.14 / $52.78 / $52.78	Professional		$50.14	$52.78	$52.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.08 / $54.55 / $57.38	Professional		$34.08	$54.55	$57.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $51.34 / $64.18 / $142.85	Facility		$51.34	$64.18	$142.85
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $51.34 / $59.81 / $71.77	Professional		$51.34	$59.81	$71.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.78 / $68.78 / $68.78	Professional		$68.78	$68.78	$68.78
United Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $59.86	Professional		$56.42	$56.42	$59.86