Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $20.48 / $31.72	Facility		$19.75	$20.48	$31.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.10 / $21.11 / $31.72	Professional		$16.10	$21.11	$31.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.51 / $42.25 / $75.12	Facility		$30.51	$42.25	$75.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $23.01 / $29.58	Professional		$4.30	$23.01	$29.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $27.34 / $41.41	Professional		$11.87	$27.34	$41.41
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $26.46 / $30.59	Facility		$19.75	$26.46	$30.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.48 / $26.46 / $34.40	Professional		$20.48	$26.46	$34.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.04 / $32.11 / $42.43	Professional		$24.04	$32.11	$42.43