Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.43 / $29.43 / $45.91	Facility		$29.43	$29.43	$45.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $29.43 / $29.43	Professional		$25.40	$29.43	$29.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.34 / $35.04 / $61.56	Facility		$24.34	$35.04	$61.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $23.24 / $31.37	Professional		$15.80	$23.24	$31.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $35.52 / $44.40	Professional		$23.82	$35.52	$44.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $27.96 / $29.43 / $54.08	Facility		$27.96	$29.43	$54.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $37.17 / $45.91	Professional		$27.96	$37.17	$45.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.08 / $25.65 / $34.62	Professional		$23.08	$25.65	$34.62
United Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $24.83 / $26.88	Professional		$13.01	$24.83	$26.88