Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $32.24 / $121.58	Facility		$31.00	$32.24	$121.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.83 / $30.25 / $32.24	Professional		$27.83	$30.25	$32.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.67 / $38.40 / $67.44	Facility		$26.67	$38.40	$67.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $25.46 / $34.36	Professional		$17.30	$25.46	$34.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $39.24 / $49.04	Professional		$26.10	$39.24	$49.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $30.63 / $32.24 / $59.24	Facility		$30.63	$32.24	$59.24
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $40.72 / $47.51	Professional		$29.58	$40.72	$47.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.29 / $28.11 / $37.94	Professional		$25.29	$28.11	$37.94
United Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $27.21 / $29.45	Professional		$14.25	$27.21	$29.45