Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.40 / $33.40 / $33.40	Facility		$33.40	$33.40	$33.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $30.54 / $151.13	Professional		$25.45	$30.54	$151.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.45 / $42.45 / $42.45	Facility		$42.45	$42.45	$42.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.33 / $45.00 / $53.06	Professional		$40.33	$45.00	$53.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $38.92 / $63.78	Professional		$27.16	$38.92	$63.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $33.40 / $36.79 / $36.79	Facility		$33.40	$36.79	$36.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $28.78 / $36.79 / $47.62	Professional		$28.78	$36.79	$47.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.12 / $15.12 / $22.68	Professional		$15.12	$15.12	$22.68
United Facility/Professional Professional Modifier Low / Median / High Price $26.66 / $33.90 / $49.54	Professional		$26.66	$33.90	$49.54