Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.46 / $49.46 / $49.46	Facility		$49.46	$49.46	$49.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.53 / $49.46 / $65.29	Professional		$44.53	$49.46	$65.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.13 / $588.70 / $1,062.78	Facility		$295.13	$588.70	$1,062.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.05 / $75.05 / $75.05	Facility		$75.05	$75.05	$75.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.79 / $148.99 / $168.60	Professional		$54.79	$148.99	$168.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $49.46 / $87.39 / $87.39	Facility		$49.46	$87.39	$87.39
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $49.46 / $87.39 / $114.07	Professional		$49.46	$87.39	$114.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $168.60 / $252.90	Professional		$75.00	$168.60	$252.90
United Facility/Professional Professional Modifier Low / Median / High Price $45.44 / $57.75 / $96.25	Professional		$45.44	$57.75	$96.25