Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.04 / $42.04 / $65.58	Facility		$42.04	$42.04	$65.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $42.04 / $42.04	Professional		$22.13	$42.04	$42.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.53 / $31.53 / $33.19	Facility		$31.53	$31.53	$33.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $33.19 / $33.19	Professional		$31.53	$33.19	$33.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $50.80 / $63.50	Professional		$10.16	$50.80	$63.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $42.04 / $77.25	Facility		$16.73	$42.04	$77.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $37.61 / $53.10	Professional		$16.73	$37.61	$53.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $36.64 / $49.46	Professional		$32.97	$36.64	$49.46
United Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $18.01 / $26.55	Professional		$7.48	$18.01	$26.55