Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.56 / $46.56 / $46.56	Facility		$46.56	$46.56	$46.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $46.56 / $53.54	Professional		$34.34	$46.56	$53.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.71 / $184.37 / $350.44	Facility		$88.71	$184.37	$350.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.08 / $63.59 / $82.54	Professional		$58.08	$63.59	$82.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $24.95 / $112.76	Professional		$24.95	$24.95	$112.76
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $41.64 / $41.64 / $46.56	Facility		$41.64	$41.64	$46.56
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $41.64 / $73.36	Professional		$41.64	$41.64	$73.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.89 / $41.27 / $64.60	Professional		$35.89	$41.27	$64.60
United Facility/Professional Professional Modifier Low / Median / High Price $20.79 / $28.71 / $44.13	Professional		$20.79	$28.71	$44.13