Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.84 / $51.84 / $161.74	Facility		$51.84	$51.84	$161.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $51.84 / $51.84	Professional		$51.84	$51.84	$51.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.54 / $128.87 / $243.78	Facility		$71.54	$128.87	$243.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.01 / $58.96 / $58.96	Professional		$56.01	$58.96	$58.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $55.08 / $55.08	Professional		$14.73	$55.08	$55.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $36.13 / $57.24 / $144.25	Facility		$36.13	$57.24	$144.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $57.24 / $68.68	Professional		$51.84	$57.24	$68.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.77 / $40.77 / $40.77	Professional		$40.77	$40.77	$40.77
United Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $57.29	Professional		$54.00	$54.00	$57.29