Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.02 / $26.02 / $81.18	Facility		$26.02	$26.02	$81.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $26.02 / $26.02	Professional		$26.02	$26.02	$26.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.07 / $27.07 / $27.07	Facility		$27.07	$27.07	$27.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $27.07 / $27.07	Professional		$25.72	$27.07	$27.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.18 / $27.64 / $27.64	Professional		$23.18	$27.64	$27.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $26.02 / $32.52 / $72.40	Facility		$26.02	$32.52	$72.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $28.73 / $34.47	Professional		$26.02	$28.73	$34.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $27.10 / $28.75	Professional		$27.10	$27.10	$28.75