Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.26 / $24.26 / $24.26	Facility		$24.26	$24.26	$24.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $24.26 / $25.47	Professional		$14.36	$24.26	$25.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.23 / $96.08 / $182.61	Facility		$46.23	$96.08	$182.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.27 / $33.13 / $41.42	Professional		$30.27	$33.13	$41.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $16.27 / $45.94	Professional		$16.27	$16.27	$45.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $10.13 / $23.01 / $24.26	Facility		$10.13	$23.01	$24.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.03 / $23.01 / $38.22	Professional		$22.03	$23.01	$38.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $22.96 / $35.94	Professional		$19.97	$22.96	$35.94
United Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $14.96 / $24.56	Professional		$11.26	$14.96	$24.56