Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.92 / $57.92 / $180.71	Facility		$57.92	$57.92	$180.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $57.92 / $63.96	Professional		$57.92	$57.92	$63.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.97 / $131.37 / $250.33	Facility		$69.97	$131.37	$250.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.30 / $63.82 / $82.85	Professional		$58.30	$63.82	$82.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $72.34	Professional		$61.54	$61.54	$72.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $63.96 / $112.94 / $161.16	Facility		$63.96	$112.94	$161.16
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $63.96 / $76.75	Professional		$57.92	$63.96	$76.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $73.55 / $95.94	Professional		$63.96	$73.55	$95.94
United Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $67.17 / $74.83	Professional		$60.34	$67.17	$74.83