Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.15 / $34.15 / $34.15	Facility		$34.15	$34.15	$34.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.71 / $29.15 / $34.15	Professional		$24.71	$29.15	$34.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.54 / $142.22 / $274.80	Facility		$71.54	$142.22	$274.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.42 / $50.20 / $59.76	Professional		$45.42	$50.20	$59.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $115.91 / $158.19	Professional		$29.36	$115.91	$158.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $22.84 / $22.84 / $34.15	Facility		$22.84	$22.84	$34.15
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.84 / $29.79 / $39.71	Professional		$22.84	$29.79	$39.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $33.15 / $47.72	Professional		$26.94	$33.15	$47.72
United Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $31.04 / $47.98	Professional		$23.28	$31.04	$47.98