Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.22 / $31.70 / $98.90	Facility		$26.22	$31.70	$98.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $26.22 / $37.22	Professional		$25.46	$26.22	$37.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.22 / $56.24 / $106.39	Facility		$31.22	$56.24	$106.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $25.73 / $25.73	Professional		$24.44	$25.73	$25.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $30.91	Professional		$25.46	$25.46	$30.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $43.46 / $88.21	Facility		$25.46	$43.46	$88.21
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $26.22 / $32.27	Professional		$25.46	$26.22	$32.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $35.38 / $37.38	Professional		$29.27	$35.38	$37.38
United Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $28.52 / $30.25	Professional		$25.46	$28.52	$30.25