Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.69 / $77.06 / $93.27	Professional		$39.69	$77.06	$93.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.28 / $115.28 / $115.28	Facility		$115.28	$115.28	$115.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.52 / $121.04 / $155.63	Professional		$109.52	$121.04	$155.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $42.25 / $166.88	Professional		$42.25	$42.25	$166.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $69.52 / $81.79 / $99.36	Professional		$69.52	$81.79	$99.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.38 / $53.18 / $77.03	Professional		$34.38	$53.18	$77.03