Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.82 / $50.82 / $158.56	Facility		$50.82	$50.82	$158.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.82 / $50.82 / $56.12	Professional		$50.82	$50.82	$56.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.61 / $104.40 / $198.93	Facility		$55.61	$104.40	$198.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.33 / $48.77 / $48.77	Professional		$46.33	$48.77	$48.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.93 / $54.00 / $54.00	Professional		$36.93	$54.00	$54.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $50.82 / $63.53 / $141.41	Facility		$50.82	$63.53	$141.41
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $50.82 / $56.12 / $67.34	Professional		$50.82	$56.12	$67.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.53 / $64.53 / $64.53	Professional		$64.53	$64.53	$64.53
United Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $59.29 / $62.89	Professional		$52.94	$59.29	$62.89