Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.47 / $23.47 / $30.75	Facility		$23.47	$23.47	$30.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $23.47 / $25.70	Professional		$18.96	$23.47	$25.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $32.94 / $64.37	Facility		$17.73	$32.94	$64.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.91 / $30.56 / $39.65	Professional		$27.91	$30.56	$39.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $24.62 / $78.95	Professional		$14.44	$24.62	$78.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $21.37 / $23.47 / $43.13	Facility		$21.37	$23.47	$43.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $23.47 / $33.00	Professional		$21.37	$23.47	$33.00
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 $19.72 / $24.17 / $30.42	Professional		$19.72	$24.17	$30.42