Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.02 / $41.02 / $127.98	Facility		$41.02	$41.02	$127.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $41.02 / $48.19	Professional		$39.83	$41.02	$48.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.26 / $86.85 / $165.49	Facility		$46.26	$86.85	$165.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $40.57 / $40.57	Professional		$38.54	$40.57	$40.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $41.33	Professional		$39.83	$39.83	$41.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $51.28 / $114.14	Facility		$39.83	$51.28	$114.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $41.02 / $47.79	Professional		$39.83	$41.02	$47.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.80 / $45.80 / $45.85	Professional		$45.80	$45.80	$45.85
United Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $42.26	Professional		$39.83	$39.83	$42.26