Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.84 / $37.86 / $118.06	Facility		$37.84	$37.86	$118.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $37.86 / $44.46	Professional		$36.77	$37.86	$44.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.70 / $80.17 / $152.76	Facility		$42.70	$80.17	$152.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $37.45 / $37.45	Professional		$35.58	$37.45	$37.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $36.77 / $36.77	Professional		$29.28	$36.77	$36.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $36.77 / $47.30 / $105.29	Facility		$36.77	$47.30	$105.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $37.84 / $44.12	Professional		$36.77	$37.84	$44.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.96 / $42.25 / $42.28	Professional		$39.96	$42.25	$42.28
United Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $36.77 / $39.01	Professional		$36.77	$36.77	$39.01