Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.47 / $32.47 / $50.67	Facility		$32.47	$32.47	$50.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $32.47 / $34.19	Professional		$28.04	$32.47	$34.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.77 / $22.77 / $23.97	Facility		$22.77	$22.77	$23.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $23.97 / $32.36	Professional		$22.77	$23.97	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $39.24 / $49.04	Professional		$18.96	$39.24	$49.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $30.86 / $32.47 / $59.68	Facility		$30.86	$32.47	$59.68
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $33.65 / $41.02	Professional		$32.47	$33.65	$41.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $28.31 / $38.21	Professional		$25.47	$28.31	$38.21
United Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $21.04 / $22.30	Professional		$14.36	$21.04	$22.30