Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.21 / $32.27 / $100.68	Facility		$32.21	$32.27	$100.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $32.21 / $37.90	Professional		$31.33	$32.21	$37.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.33 / $68.20 / $129.96	Facility		$36.33	$68.20	$129.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $30.37 / $30.37	Professional		$28.85	$30.37	$30.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.84 / $31.27 / $31.27	Professional		$30.84	$31.27	$31.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $31.27 / $43.23 / $89.79	Facility		$31.27	$43.23	$89.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $32.21 / $37.52	Professional		$31.27	$32.21	$37.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.12 / $35.96 / $36.02	Professional		$35.12	$35.96	$36.02
United Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $31.27 / $33.17	Professional		$31.27	$31.27	$33.17