Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.99 / $81.96 / $92.50	Professional		$43.99	$81.96	$92.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.67 / $184.67 / $184.67	Facility		$184.67	$184.67	$184.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.44 / $193.90 / $249.30	Professional		$175.44	$193.90	$249.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $46.82 / $159.84	Professional		$46.82	$46.82	$159.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $81.76 / $103.58	Professional		$75.03	$81.76	$103.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $181.00 / $208.15 / $325.80	Professional		$181.00	$208.15	$325.80
United Facility/Professional Professional Modifier Low / Median / High Price $38.10 / $50.93 / $70.09	Professional		$38.10	$50.93	$70.09