Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $37.29 / $58.19	Facility		$37.29	$37.29	$58.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $37.29 / $37.29	Professional		$33.76	$37.29	$37.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.16 / $27.54 / $30.63	Professional		$26.16	$27.54	$30.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.91 / $39.26 / $88.34	Professional		$19.91	$39.26	$88.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $35.44 / $37.29 / $68.54	Facility		$35.44	$37.29	$68.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $46.73 / $58.19	Professional		$35.33	$46.73	$58.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $35.75 / $58.50	Professional		$32.50	$35.75	$58.50
United Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $28.72 / $49.04	Professional		$16.48	$28.72	$49.04