Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.97 / $34.70 / $54.13	Facility		$32.97	$34.70	$54.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.95 / $29.95 / $43.38	Professional		$29.95	$29.95	$43.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.70 / $41.32 / $72.58	Facility		$28.70	$41.32	$72.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.63 / $27.40 / $36.99	Professional		$18.63	$27.40	$36.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.59 / $42.13 / $52.66	Professional		$20.59	$42.13	$52.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $34.70 / $63.76	Facility		$17.98	$34.70	$63.76
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $20.68 / $43.83	Professional		$17.98	$20.68	$43.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.22 / $30.25 / $40.83	Professional		$27.22	$30.25	$40.83
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.62 / $21.92	Professional		$8.13	$11.62	$21.92