Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.34 / $72.34 / $72.34	Facility		$72.34	$72.34	$72.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $55.17 / $75.95	Professional		$30.35	$55.17	$75.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.87 / $286.54 / $544.63	Facility		$137.87	$286.54	$544.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.27 / $98.82 / $123.53	Professional		$90.27	$98.82	$123.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $38.77 / $140.02	Professional		$38.77	$38.77	$140.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $64.73 / $64.73 / $72.34	Facility		$64.73	$64.73	$72.34
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $64.73 / $114.02	Professional		$33.39	$64.73	$114.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.78 / $64.14 / $100.40	Professional		$55.78	$64.14	$100.40
United Facility/Professional Professional Modifier Low / Median / High Price $33.58 / $45.43 / $71.53	Professional		$33.58	$45.43	$71.53