Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.35 / $57.15 / $178.31	Facility		$56.35	$57.15	$178.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $56.35 / $67.13	Professional		$54.71	$56.35	$67.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.62 / $121.81 / $230.43	Facility		$67.62	$121.81	$230.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.16 / $52.80 / $52.80	Professional		$50.16	$52.80	$52.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $75.73	Professional		$54.71	$54.71	$75.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $71.62 / $159.02	Facility		$54.71	$71.62	$159.02
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $56.35 / $65.65	Professional		$54.71	$56.35	$65.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.91 / $63.80 / $65.35	Professional		$62.91	$63.80	$65.35
United Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $58.04	Professional		$54.71	$54.71	$58.04