Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.41 / $49.44 / $154.25	Facility		$49.41	$49.44	$154.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $48.45 / $52.77	Professional		$47.97	$48.45	$52.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.72 / $104.62 / $199.34	Facility		$55.72	$104.62	$199.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.43 / $50.82 / $65.97	Professional		$46.43	$50.82	$65.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $58.30	Professional		$47.97	$47.97	$58.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $96.00 / $137.57	Facility		$47.97	$96.00	$137.57
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $48.58 / $58.18	Professional		$47.97	$48.58	$58.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $48.23 / $65.11	Professional		$47.97	$48.23	$65.11
United Facility/Professional Facility Modifier Low / Median / High Price $48.23 / $48.23 / $51.12	Facility		$48.23	$48.23	$51.12
United Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $51.70	Professional		$47.97	$47.97	$51.70