Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.53 / $89.67 / $99.85	Professional		$48.53	$89.67	$99.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.41 / $123.41 / $123.41	Facility		$123.41	$123.41	$123.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $129.58 / $166.60	Professional		$117.24	$129.58	$166.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $51.66 / $179.06	Professional		$51.66	$51.66	$179.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $74.12 / $87.55 / $113.81	Professional		$74.12	$87.55	$113.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $18.29 / $28.63	Professional		$15.91	$18.29	$28.63
United Facility/Professional Professional Modifier Low / Median / High Price $42.04 / $56.92 / $78.33	Professional		$42.04	$56.92	$78.33