Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.66 / $28.66 / $44.71	Facility		$28.66	$28.66	$44.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.74 / $28.66 / $28.66	Professional		$24.74	$28.66	$28.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.70 / $34.13 / $59.94	Facility		$23.70	$34.13	$59.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $22.63 / $30.55	Professional		$15.39	$22.63	$30.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $34.69 / $43.37	Professional		$19.79	$34.69	$43.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $27.23 / $28.66 / $52.66	Facility		$27.23	$28.66	$52.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $30.96 / $37.71	Professional		$28.66	$30.96	$37.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $24.98 / $33.72	Professional		$22.48	$24.98	$33.72
United Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $19.14 / $32.72	Professional		$12.67	$19.14	$32.72