Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.88 / $57.77 / $180.24	Facility		$51.88	$57.77	$180.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $51.88 / $67.87	Professional		$50.37	$51.88	$67.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.10 / $110.07 / $208.22	Facility		$61.10	$110.07	$208.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.74 / $51.31 / $51.31	Professional		$48.74	$51.31	$51.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $50.37 / $50.37	Professional		$29.45	$50.37	$50.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $50.37 / $75.51 / $160.75	Facility		$50.37	$75.51	$160.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $51.88 / $60.44	Professional		$50.37	$51.88	$60.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $64.50 / $68.86	Professional		$57.92	$64.50	$68.86
United Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $56.07 / $66.27	Professional		$50.37	$56.07	$66.27