Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.95 / $49.83 / $155.47	Facility		$48.95	$49.83	$155.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $48.95 / $58.54	Professional		$47.53	$48.95	$58.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.21 / $103.65 / $197.51	Facility		$55.21	$103.65	$197.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.99 / $48.41 / $48.41	Professional		$45.99	$48.41	$48.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.03 / $47.52 / $47.52	Professional		$37.03	$47.52	$47.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $47.53 / $71.30 / $138.65	Facility		$47.53	$71.30	$138.65
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $48.95 / $57.03	Professional		$47.53	$48.95	$57.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.65 / $55.26 / $55.63	Professional		$54.65	$55.26	$55.63
United Facility/Professional Facility Modifier Low / Median / High Price $47.53 / $47.53 / $47.53	Facility		$47.53	$47.53	$47.53
United Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $53.23 / $57.99	Professional		$47.53	$53.23	$57.99