Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.24 / $65.23 / $91.33	Facility		$50.24	$65.23	$91.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.73 / $52.19 / $62.13	Professional		$48.73	$52.19	$62.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.44 / $115.43 / $218.35	Facility		$62.44	$115.43	$218.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.38 / $90.38 / $90.38	Professional		$90.38	$90.38	$90.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.13 / $70.36 / $84.30	Professional		$62.13	$70.36	$84.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $65.23 / $73.09 / $139.79	Facility		$65.23	$73.09	$139.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $51.76 / $73.09 / $87.70	Professional		$51.76	$73.09	$87.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $96.84 / $96.84	Professional		$64.56	$96.84	$96.84
United Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $81.36 / $90.64	Professional		$73.09	$81.36	$90.64