Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.60 / $69.68 / $104.08	Facility		$53.60	$69.68	$104.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $53.00 / $57.72	Professional		$52.47	$53.00	$57.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.96 / $114.44 / $218.06	Facility		$60.96	$114.44	$218.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.79 / $55.60 / $72.17	Professional		$50.79	$55.60	$72.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $52.47 / $61.88	Professional		$52.47	$52.47	$61.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $52.47 / $93.80 / $149.13	Facility		$52.47	$93.80	$149.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $53.60 / $65.58	Professional		$52.47	$53.60	$65.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.92 / $56.01 / $76.38	Professional		$50.92	$56.01	$76.38
United Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $58.41 / $63.49	Professional		$52.47	$58.41	$63.49