Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.15 / $61.30 / $104.14	Facility		$47.15	$61.30	$104.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $47.15 / $50.10	Professional		$47.15	$47.15	$50.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.14 / $113.02 / $213.81	Facility		$61.14	$113.02	$213.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.90 / $72.90 / $72.90	Professional		$72.90	$72.90	$72.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $52.07 / $61.40	Professional		$52.07	$52.07	$61.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $52.07 / $82.51 / $131.19	Facility		$52.07	$82.51	$131.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $52.07 / $62.48	Professional		$47.15	$52.07	$62.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $59.88 / $78.10	Professional		$52.07	$59.88	$78.10
United Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $65.61 / $73.09	Professional		$58.94	$65.61	$73.09