Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.54 / $70.54 / $70.54	Facility		$70.54	$70.54	$70.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $70.54 / $70.54	Professional		$68.48	$70.54	$70.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.44 / $31.60 / $62.98	Facility		$20.44	$31.60	$62.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $14.76 / $19.93	Professional		$2.50	$14.76	$19.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $87.23	Professional		$68.48	$68.48	$87.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $68.48 / $102.73	Facility		$60.00	$68.48	$102.73
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $82.18	Professional		$68.48	$68.48	$82.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $102.73	Professional		$30.00	$55.00	$102.73
United Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $72.67	Professional		$68.48	$68.48	$72.67