Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $29.54 / $91.67	Facility		$29.38	$29.54	$91.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $29.54 / $34.51	Professional		$28.68	$29.54	$34.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.45 / $63.87 / $120.82	Facility		$35.45	$63.87	$120.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.76 / $29.22 / $29.22	Professional		$27.76	$29.22	$29.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.67 / $28.68 / $28.68	Professional		$24.67	$28.68	$28.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $36.72 / $81.75	Facility		$28.68	$36.72	$81.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $29.38 / $34.40	Professional		$28.68	$29.38	$34.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $32.80 / $32.98	Professional		$32.79	$32.80	$32.98
United Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $29.26	Professional		$28.68	$28.68	$29.26