Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.63 / $27.63 / $43.10	Facility		$27.63	$27.63	$43.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $27.63 / $27.63	Professional		$23.85	$27.63	$27.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.84 / $32.89 / $57.77	Facility		$22.84	$32.89	$57.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $21.81 / $29.44	Professional		$14.83	$21.81	$29.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.27 / $33.45 / $41.82	Professional		$19.27	$33.45	$41.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $26.25 / $27.63 / $50.77	Facility		$26.25	$27.63	$50.77
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $24.87 / $33.36 / $38.19	Professional		$24.87	$33.36	$38.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $24.08 / $32.50	Professional		$21.67	$24.08	$32.50
United Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $18.61 / $21.74	Professional		$12.21	$18.61	$21.74