Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.53 / $27.53 / $27.53	Facility		$27.53	$27.53	$27.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $27.53 / $41.81	Professional		$20.04	$27.53	$41.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.90 / $22.90 / $22.90	Facility		$22.90	$22.90	$22.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.76 / $24.04 / $28.63	Professional		$21.76	$24.04	$28.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $38.44 / $69.20	Professional		$32.57	$38.44	$69.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $27.53 / $139.68 / $139.68	Facility		$27.53	$139.68	$139.68
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $139.68 / $160.63	Professional		$27.52	$139.68	$160.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $19.19 / $19.19 / $19.19	Facility		$19.19	$19.19	$19.19
United Facility/Professional Professional Modifier Low / Median / High Price $23.64 / $140.36 / $184.20	Professional		$23.64	$140.36	$184.20