Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.45 / $69.22 / $215.97	Facility		$51.45	$69.22	$215.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $51.45 / $81.31	Professional		$49.95	$51.45	$81.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.74 / $111.23 / $210.41	Facility		$61.74	$111.23	$210.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $2.00 / $2.00	Professional		$1.90	$2.00	$2.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $90.88	Professional		$49.95	$49.95	$90.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $39.56 / $74.93 / $192.61	Facility		$39.56	$74.93	$192.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $51.45 / $69.22	Professional		$49.95	$51.45	$69.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.44 / $61.89 / $77.28	Professional		$57.44	$61.89	$77.28
United Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $65.03	Professional		$49.95	$49.95	$65.03