Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.90 / $57.90 / $180.65	Facility		$57.90	$57.90	$180.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.90 / $57.90 / $61.52	Professional		$57.90	$57.90	$61.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.09 / $120.35 / $229.32	Facility		$64.09	$120.35	$229.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.41 / $58.47 / $75.90	Professional		$53.41	$58.47	$75.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $61.52 / $110.51	Professional		$61.52	$61.52	$110.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $63.86 / $110.31 / $161.11	Facility		$63.86	$110.31	$161.11
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $57.90 / $63.94 / $76.72	Professional		$57.90	$63.94	$76.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $75.00 / $100.00	Professional		$30.00	$75.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $60.32 / $66.34	Professional		$60.32	$60.32	$66.34