Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.78 / $58.45 / $75.00	Professional		$28.78	$58.45	$75.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.70 / $92.70 / $92.70	Facility		$92.70	$92.70	$92.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.07 / $97.34 / $125.15	Professional		$88.07	$97.34	$125.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $33.45 / $134.53	Professional		$33.45	$33.45	$134.53
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $55.11 / $65.77 / $78.78	Professional		$55.11	$65.77	$78.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $12.27 / $19.20	Professional		$10.67	$12.27	$19.20
United Facility/Professional Professional Modifier Low / Median / High Price $27.22 / $42.76 / $57.94	Professional		$27.22	$42.76	$57.94