Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.86 / $26.86 / $98.54	Facility		$26.86	$26.86	$98.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.18 / $26.86 / $32.63	Professional		$23.18	$26.86	$32.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.20 / $31.97 / $56.16	Facility		$22.20	$31.97	$56.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.42 / $21.20 / $28.62	Professional		$14.42	$21.20	$28.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $29.25 / $36.56	Professional		$14.86	$29.25	$36.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $26.86 / $30.15 / $82.66	Facility		$26.86	$30.15	$82.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $30.15 / $37.34	Professional		$26.86	$30.15	$37.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $23.40 / $31.59	Professional		$21.06	$23.40	$31.59
United Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $19.16 / $22.20	Professional		$11.87	$19.16	$22.20