Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.67 / $38.67 / $60.33	Facility		$38.67	$38.67	$60.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $38.67 / $38.67	Professional		$35.00	$38.67	$38.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.02 / $46.45 / $80.87	Facility		$33.02	$46.45	$80.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $30.53 / $32.67	Professional		$29.00	$30.53	$32.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.96 / $34.34 / $91.58	Professional		$16.96	$34.34	$91.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $33.72 / $38.67 / $71.06	Facility		$33.72	$38.67	$71.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $38.61 / $54.95	Professional		$33.72	$38.61	$54.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.70 / $37.07 / $60.66	Professional		$33.70	$37.07	$60.66
United Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $35.39 / $52.91	Professional		$22.19	$35.39	$52.91