Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.50 / $35.84 / $56.60	Facility		$17.50	$35.84	$56.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $35.84 / $35.84	Professional		$30.94	$35.84	$35.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.64 / $42.68 / $74.95	Facility		$29.64	$42.68	$74.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $28.30 / $38.21	Professional		$19.23	$28.30	$38.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $43.37 / $57.30	Professional		$6.75	$43.37	$57.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $11.57 / $35.84 / $65.86	Facility		$11.57	$35.84	$65.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $15.61 / $45.27	Professional		$11.57	$15.61	$45.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.11 / $31.24 / $42.17	Professional		$28.11	$31.24	$42.17
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $7.23 / $13.32	Professional		$5.05	$7.23	$13.32