Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.03 / $32.03 / $32.03	Facility		$32.03	$32.03	$32.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $30.84 / $34.14	Professional		$15.60	$30.84	$34.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.32 / $59.32 / $59.32	Facility		$59.32	$59.32	$59.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.35 / $62.29 / $80.08	Professional		$56.35	$62.29	$80.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.45 / $25.72 / $41.55	Professional		$20.45	$25.72	$41.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $32.03 / $69.02 / $69.02	Facility		$32.03	$69.02	$69.02
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $32.03 / $79.37	Professional		$19.79	$32.03	$79.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.24 / $73.88 / $91.20	Professional		$35.24	$73.88	$91.20