Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $29.71 / $29.71	Facility		$29.71	$29.71	$29.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $29.71 / $47.24	Professional		$29.71	$29.71	$47.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.97 / $57.24 / $108.29	Facility		$30.97	$57.24	$108.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $26.19 / $26.19	Professional		$24.88	$26.19	$26.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $29.33 / $35.34	Professional		$23.46	$29.33	$35.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $29.71 / $31.28	Facility		$29.71	$29.71	$31.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $29.71 / $40.54	Professional		$28.59	$29.71	$40.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $33.20 / $34.16	Professional		$33.20	$33.20	$34.16
United Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $30.53 / $32.39	Professional		$25.44	$30.53	$32.39