Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.25 / $31.25 / $31.25	Facility		$31.25	$31.25	$31.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $31.25 / $32.81	Professional		$18.50	$31.25	$32.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.55 / $123.76 / $235.23	Facility		$59.55	$123.76	$235.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.99 / $42.68 / $53.35	Professional		$38.99	$42.68	$53.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $20.95 / $59.53	Professional		$20.95	$20.95	$59.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $29.66 / $29.66 / $34.10	Facility		$29.66	$29.66	$34.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $28.38 / $29.66 / $49.25	Professional		$28.38	$29.66	$49.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $29.57 / $46.29	Professional		$25.72	$29.57	$46.29
United Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $19.27 / $31.65	Professional		$14.50	$19.27	$31.65