Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.59 / $42.59 / $42.59	Facility		$42.59	$42.59	$42.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $42.59 / $45.25	Professional		$42.59	$42.59	$45.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.95 / $189.91 / $378.54	Facility		$122.95	$189.91	$378.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $52.00 / $67.50	Professional		$47.50	$52.00	$67.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $45.25 / $45.25	Professional		$11.02	$45.25	$45.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $32.38 / $35.97 / $42.59	Facility		$32.38	$35.97	$42.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $42.59 / $51.50	Professional		$42.59	$42.59	$51.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $44.36 / $47.81	Professional		$44.36	$44.36	$47.81