Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.07 / $41.08 / $128.16	Facility		$41.07	$41.08	$128.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $41.07 / $48.25	Professional		$39.86	$41.07	$48.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.31 / $86.96 / $165.69	Facility		$46.31	$86.96	$165.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.59 / $40.61 / $40.61	Professional		$38.59	$40.61	$40.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.56 / $39.86 / $39.86	Professional		$31.56	$39.86	$39.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $49.30 / $114.31	Facility		$39.86	$49.30	$114.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $41.07 / $47.84	Professional		$39.86	$41.07	$47.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.40 / $45.85 / $45.86	Professional		$44.40	$45.85	$45.86
United Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $39.86 / $42.30	Professional		$39.86	$39.86	$42.30