Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.27 / $42.27 / $42.27	Facility		$42.27	$42.27	$42.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.33 / $39.35 / $46.01	Professional		$30.33	$39.35	$46.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.70 / $55.05 / $55.05	Facility		$36.70	$55.05	$55.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.70 / $52.30 / $66.06	Professional		$36.70	$52.30	$66.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.53 / $16.30 / $19.53	Professional		$15.53	$16.30	$19.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $42.27 / $96.07 / $96.07	Facility		$42.27	$96.07	$96.07
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $96.07 / $112.40	Professional		$37.92	$96.07	$112.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.94 / $102.65 / $153.97	Professional		$43.94	$102.65	$153.97