Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.95 / $43.95 / $67.20	Facility		$43.95	$43.95	$67.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $43.95 / $67.20	Professional		$30.08	$43.95	$67.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.41 / $53.78 / $99.47	Facility		$27.41	$53.78	$99.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.09 / $56.47 / $67.23	Professional		$51.09	$56.47	$67.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.93 / $58.00 / $86.68	Professional		$41.93	$58.00	$86.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $43.95 / $51.49 / $51.49	Facility		$43.95	$51.49	$51.49
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $51.49 / $74.05	Professional		$43.95	$51.49	$74.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.71 / $33.42 / $50.18	Professional		$27.71	$33.42	$50.18
United Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $57.54 / $77.52	Professional		$47.24	$57.54	$77.52