Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $65.72	Facility		$42.13	$42.13	$65.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $54.62	Professional		$42.13	$42.13	$54.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.40 / $58.17 / $102.17	Facility		$40.40	$58.17	$102.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $38.57 / $52.07	Professional		$26.23	$38.57	$52.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $59.10 / $73.88	Professional		$42.13	$59.10	$73.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $40.02 / $42.13 / $77.41	Facility		$40.02	$42.13	$77.41
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $51.43 / $61.71	Professional		$42.13	$51.43	$61.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.33 / $48.97 / $63.88	Professional		$38.33	$48.97	$63.88
United Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $23.18 / $28.04	Professional		$17.73	$23.18	$28.04