Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.13 / $23.29 / $72.66	Facility		$22.13	$23.29	$72.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $22.13 / $27.37	Professional		$21.48	$22.13	$27.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.55 / $47.84 / $90.47	Facility		$26.55	$47.84	$90.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $20.43 / $20.43	Professional		$19.41	$20.43	$20.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.51 / $21.48 / $27.07	Professional		$18.51	$21.48	$27.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $40.76 / $64.80	Facility		$21.48	$40.76	$64.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $22.13 / $25.77	Professional		$21.48	$22.13	$25.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $26.01 / $26.80	Professional		$24.70	$26.01	$26.80
United Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $21.91	Professional		$21.48	$21.48	$21.91