Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.30 / $25.30 / $25.30	Facility		$25.30	$25.30	$25.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $25.30 / $26.57	Professional		$14.98	$25.30	$26.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.22 / $100.21 / $190.46	Facility		$48.22	$100.21	$190.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.57 / $34.56 / $44.86	Professional		$31.57	$34.56	$44.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $18.01 / $40.94	Professional		$13.56	$18.01	$40.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $24.02 / $24.02 / $27.62	Facility		$24.02	$24.02	$27.62
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.98 / $24.02 / $39.88	Professional		$22.98	$24.02	$39.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $23.95 / $37.49	Professional		$20.83	$23.95	$37.49
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.61 / $23.78	Professional		$11.75	$15.61	$23.78