Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.65 / $44.65 / $69.65	Facility		$44.65	$44.65	$69.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $39.31 / $44.65	Professional		$32.50	$39.31	$44.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.35 / $53.63 / $93.37	Facility		$38.35	$53.63	$93.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.49 / $35.25 / $37.72	Professional		$33.49	$35.25	$37.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $23.90 / $105.75	Professional		$18.80	$23.90	$105.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.09 / $44.65 / $82.04	Facility		$14.09	$44.65	$82.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $39.31 / $56.40	Professional		$14.09	$39.31	$56.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.92 / $42.81 / $70.05	Professional		$38.92	$42.81	$70.05
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $28.20 / $47.00	Professional		$19.73	$28.20	$47.00