Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.53 / $28.53 / $44.51	Facility		$28.53	$28.53	$44.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.83 / $28.53 / $28.53	Professional		$25.83	$28.53	$28.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.36 / $34.26 / $59.65	Facility		$24.36	$34.26	$59.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $22.52 / $24.10	Professional		$21.39	$22.52	$24.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $25.68 / $67.56	Professional		$12.72	$25.68	$67.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $26.70 / $28.53 / $52.42	Facility		$26.70	$28.53	$52.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $26.70 / $27.67 / $37.82	Professional		$26.70	$27.67	$37.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.87 / $27.35 / $44.76	Professional		$24.87	$27.35	$44.76
United Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $16.80 / $28.22	Professional		$12.29	$16.80	$28.22