Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.10 / $34.10 / $103.00	Facility		$34.10	$34.10	$103.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.24 / $33.88 / $34.10	Professional		$22.24	$33.88	$34.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.22 / $91.58 / $177.81	Facility		$43.22	$91.58	$177.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $32.74 / $34.10	Professional		$32.40	$32.74	$34.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $21.86 / $28.61	Professional		$18.70	$21.86	$28.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $34.10 / $34.59 / $34.59	Facility		$34.10	$34.59	$34.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $26.01 / $34.10 / $38.14	Professional		$26.01	$34.10	$38.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $12.55 / $25.13	Professional		$12.55	$12.55	$25.13
United Facility/Professional Facility Modifier Low / Median / High Price $32.74 / $32.74 / $33.01	Facility		$32.74	$32.74	$33.01
United Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $34.59 / $49.44	Professional		$17.27	$34.59	$49.44