Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.61 / $34.61 / $43.26	Facility		$34.61	$34.61	$43.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $32.17 / $38.29	Professional		$24.62	$32.17	$38.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.94 / $16.89 / $30.33	Facility		$11.94	$16.89	$30.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $11.91 / $14.31	Professional		$10.88	$11.91	$14.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.83 / $19.57 / $56.51	Professional		$12.83	$19.57	$56.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $26.51 / $34.61 / $63.60	Facility		$26.51	$34.61	$63.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $31.01 / $47.64	Professional		$24.62	$31.01	$47.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Facility Modifier Low / Median / High Price $221.01 / $297.88 / $482.37	Facility		$221.01	$297.88	$482.37
United Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $17.35 / $26.28	Professional		$10.55	$17.35	$26.28