Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.88 / $50.50 / $155.63	Facility		$49.88	$50.50	$155.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $50.50 / $58.59	Professional		$49.03	$50.50	$58.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.60 / $109.18 / $206.53	Facility		$60.60	$109.18	$206.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.32 / $47.71 / $47.71	Professional		$45.32	$47.71	$47.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $49.03 / $49.03	Professional		$23.14	$49.03	$49.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $49.03 / $59.86 / $138.79	Facility		$49.03	$59.86	$138.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.88 / $58.83	Professional		$49.03	$49.88	$58.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.68 / $56.22 / $56.38	Professional		$55.68	$56.22	$56.38
United Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $52.02	Professional		$49.03	$49.03	$52.02