Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.59 / $54.59 / $54.59	Facility		$54.59	$54.59	$54.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $54.59 / $54.59	Professional		$53.00	$54.59	$54.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $9.18 / $53.99	Facility		$4.09	$9.18	$53.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $51.29 / $67.48	Professional		$9.18	$51.29	$67.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $113.30	Professional		$53.00	$53.00	$113.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $54.59	Facility		$53.00	$53.00	$54.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $71.55	Professional		$53.00	$53.00	$71.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $79.50 / $148.66	Professional		$55.00	$79.50	$148.66
United Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $57.12	Professional		$53.00	$53.00	$57.12