Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.27 / $44.27 / $69.06	Facility		$44.27	$44.27	$69.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.08 / $44.27 / $44.27	Professional		$40.08	$44.27	$44.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.79 / $53.17 / $92.58	Facility		$37.79	$53.17	$92.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $34.95 / $37.40	Professional		$33.20	$34.95	$37.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $47.56 / $104.85	Professional		$21.79	$47.56	$104.85
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $44.27 / $44.27 / $81.34	Facility		$44.27	$44.27	$81.34
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $44.27 / $49.72 / $93.94	Professional		$44.27	$49.72	$93.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $27.96 / $52.85	Professional		$19.57	$27.96	$52.85