Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.42 / $28.42 / $44.34	Facility		$28.42	$28.42	$44.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $25.73 / $28.42	Professional		$21.62	$25.73	$28.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $25.66 / $44.64	Facility		$18.20	$25.66	$44.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $38.00 / $50.67	Professional		$26.40	$38.00	$50.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $34.28 / $45.43	Professional		$22.51	$34.28	$45.43
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $28.42 / $52.22	Facility		$27.00	$28.42	$52.22
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $29.85 / $45.73	Professional		$28.42	$29.85	$45.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $15.24 / $33.45	Professional		$10.16	$15.24	$33.45
United Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $18.45 / $19.45	Professional		$12.57	$18.45	$19.45