Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.14 / $56.14 / $56.14	Facility		$56.14	$56.14	$56.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $56.14 / $63.16	Professional		$40.04	$56.14	$63.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.98 / $222.34 / $422.60	Facility		$106.98	$222.34	$422.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.04 / $76.68 / $99.54	Professional		$70.04	$76.68	$99.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $108.59	Professional		$30.08	$30.08	$108.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $50.21 / $50.21 / $56.14	Facility		$50.21	$50.21	$56.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $50.21 / $50.21 / $88.47	Professional		$50.21	$50.21	$88.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.27 / $49.76 / $77.88	Professional		$43.27	$49.76	$77.88
United Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $34.61 / $53.21	Professional		$26.06	$34.61	$53.21