Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.80 / $27.80 / $93.86	Facility		$27.80	$27.80	$93.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $25.46 / $34.79	Professional		$22.53	$25.46	$34.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.23 / $93.03 / $188.02	Facility		$44.23	$93.03	$188.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $35.96 / $45.42	Professional		$5.81	$35.96	$45.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.68 / $31.40 / $90.82	Professional		$22.68	$31.40	$90.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $24.72 / $24.72 / $93.86	Facility		$24.72	$24.72	$93.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $23.98 / $26.20 / $34.06	Professional		$23.98	$26.20	$34.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $16.19 / $31.89	Professional		$2.34	$16.19	$31.89
United Facility/Professional Professional Modifier Low / Median / High Price $21.75 / $27.06 / $39.42	Professional		$21.75	$27.06	$39.42