Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.67 / $39.67 / $61.89	Facility		$39.67	$39.67	$61.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $39.67 / $39.67	Professional		$35.90	$39.67	$39.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $29.28 / $29.28	Facility		$29.28	$29.28	$29.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.82 / $29.28 / $32.57	Professional		$27.82	$29.28	$32.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $46.40 / $93.96	Professional		$21.30	$46.40	$93.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $37.69 / $39.67 / $72.89	Facility		$37.69	$39.67	$72.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $55.58 / $64.47	Professional		$37.58	$55.58	$64.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $38.02 / $62.22	Professional		$34.57	$38.02	$62.22
United Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $34.18 / $58.33	Professional		$17.54	$34.18	$58.33