Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.52 / $34.52 / $50.00	Facility		$34.52	$34.52	$50.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.42 / $34.52 / $34.52	Professional		$22.42	$34.52	$34.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.28 / $101.95 / $196.98	Facility		$51.28	$101.95	$196.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.46 / $36.27 / $36.27	Professional		$34.46	$36.27	$36.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $19.60 / $22.72	Professional		$19.60	$19.60	$22.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $26.22 / $26.22 / $34.52	Facility		$26.22	$26.22	$34.52
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.42 / $31.76 / $42.50	Professional		$22.42	$31.76	$42.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $22.54	Professional		$22.54	$22.54	$22.54
United Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $28.02 / $45.00	Professional		$18.10	$28.02	$45.00