Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.36 / $28.69 / $89.51	Facility		$26.36	$28.69	$89.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $26.36 / $33.71	Professional		$25.59	$26.36	$33.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.63 / $57.00 / $107.79	Facility		$31.63	$57.00	$107.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $24.39 / $25.67	Professional		$24.39	$24.39	$25.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $31.56	Professional		$25.59	$25.59	$31.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $35.86 / $88.66	Facility		$25.59	$35.86	$88.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $26.36 / $30.70	Professional		$25.59	$26.36	$30.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $29.42 / $32.03	Professional		$27.16	$29.42	$32.03
United Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $27.15	Professional		$25.59	$25.59	$27.15