Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.79 / $23.79 / $23.79	Facility		$23.79	$23.79	$23.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $23.79 / $23.79	Professional		$16.38	$23.79	$23.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.52 / $104.74 / $200.97	Facility		$53.52	$104.74	$200.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.76 / $36.59 / $36.59	Professional		$34.76	$36.59	$36.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.61 / $28.14 / $33.86	Professional		$16.61	$28.14	$33.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $20.46 / $20.46 / $23.79	Facility		$20.46	$20.46	$23.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $20.73 / $33.29	Professional		$18.14	$20.73	$33.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $23.83 / $34.47	Professional		$19.98	$23.83	$34.47