Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.72 / $40.81 / $127.33	Facility		$40.72	$40.81	$127.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $40.72 / $47.94	Professional		$39.54	$40.72	$47.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.87 / $88.04 / $166.55	Facility		$48.87	$88.04	$166.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $25.49 / $25.49	Professional		$24.22	$25.49	$25.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $71.53	Professional		$39.54	$39.54	$71.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $71.42 / $113.55	Facility		$39.54	$71.42	$113.55
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $40.72 / $47.94	Professional		$39.54	$40.72	$47.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $45.47 / $45.56	Professional		$36.90	$45.47	$45.56
United Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $40.33	Professional		$39.54	$39.54	$40.33