Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.77 / $49.61 / $74.09	Facility		$37.77	$49.61	$74.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $37.42 / $40.34	Professional		$36.67	$37.42	$40.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.60 / $79.98 / $152.38	Facility		$42.60	$79.98	$152.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $23.71 / $30.78	Professional		$21.66	$23.71	$30.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $51.34	Professional		$36.67	$36.67	$51.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $36.67 / $66.78 / $106.18	Facility		$36.67	$66.78	$106.18
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $37.77 / $47.67	Professional		$36.67	$37.77	$47.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $43.51 / $60.91	Professional		$36.67	$43.51	$60.91
United Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $40.82 / $48.24	Professional		$36.67	$40.82	$48.24