Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.35 / $33.35 / $52.03	Facility		$33.35	$33.35	$52.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $33.35 / $33.35	Professional		$28.79	$33.35	$33.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.62 / $24.62 / $24.62	Facility		$24.62	$24.62	$24.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $24.62 / $33.24	Professional		$16.73	$24.62	$33.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $40.47 / $50.59	Professional		$12.92	$40.47	$50.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $22.37 / $33.35 / $61.28	Facility		$22.37	$33.35	$61.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.37 / $30.19 / $42.13	Professional		$22.37	$30.19	$42.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.16 / $29.07 / $39.24	Professional		$26.16	$29.07	$39.24
United Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $35.11 / $35.11	Facility		$17.55	$35.11	$35.11
United Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $13.86 / $21.07	Professional		$7.79	$13.86	$21.07