Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.02 / $31.02 / $31.02	Facility		$31.02	$31.02	$31.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.97 / $35.59 / $55.04	Professional		$23.97	$35.59	$55.04
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 / $55.05 / $68.81	Professional		$36.70	$55.05	$68.81
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 $31.02 / $96.07 / $96.07	Facility		$31.02	$96.07	$96.07
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $31.02 / $96.07 / $112.40	Professional		$31.02	$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 / $98.92 / $121.99	Professional		$43.94	$98.92	$121.99