Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.33 / $54.33 / $54.33	Facility		$54.33	$54.33	$54.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $54.33 / $54.33	Professional		$52.75	$54.33	$54.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.58 / $60.90 / $121.92	Facility		$39.58	$60.90	$121.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.38 / $45.71 / $61.71	Professional		$7.38	$45.71	$61.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $67.01	Professional		$52.75	$52.75	$67.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $52.75 / $52.75 / $79.13	Facility		$52.75	$52.75	$79.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $65.93	Professional		$52.75	$52.75	$65.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.85 / $58.02 / $87.93	Professional		$48.85	$58.02	$87.93
United Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $55.97	Professional		$52.75	$52.75	$55.97