Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.01 / $33.34 / $52.01	Facility		$30.01	$33.34	$52.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $33.34 / $33.34	Professional		$30.18	$33.34	$33.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.47 / $40.04 / $69.72	Facility		$28.47	$40.04	$69.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $26.32 / $28.16	Professional		$25.00	$26.32	$28.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $38.99 / $78.95	Professional		$17.82	$38.99	$78.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $31.27 / $33.34 / $61.26	Facility		$31.27	$33.34	$61.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $46.73 / $53.95	Professional		$31.58	$46.73	$53.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.05 / $31.95 / $52.29	Professional		$29.05	$31.95	$52.29
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $28.72 / $49.04	Professional		$14.74	$28.72	$49.04