Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.56 / $35.56 / $35.56	Facility		$35.56	$35.56	$35.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.41 / $35.56 / $39.68	Professional		$26.41	$35.56	$39.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.71 / $182.29 / $346.48	Facility		$87.71	$182.29	$346.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $62.87 / $78.59	Professional		$57.43	$62.87	$78.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.29 / $30.86 / $80.34	Professional		$20.29	$30.86	$80.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $25.48 / $35.56	Facility		$25.48	$25.48	$35.56
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $25.48 / $63.47	Professional		$25.48	$25.48	$63.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $42.52 / $66.56	Professional		$36.97	$42.52	$66.56
United Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $28.90 / $46.64	Professional		$23.01	$28.90	$46.64