Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $33.34 / $52.01	Facility		$33.34	$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 / $28.85 / $54.16	Professional		$17.82	$28.85	$54.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $31.67 / $33.34 / $61.26	Facility		$31.67	$33.34	$61.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $43.99 / $54.92	Professional		$33.34	$43.99	$54.92
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 / $28.66 / $47.76	Professional		$14.74	$28.66	$47.76