Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.44 / $20.57 / $2,156.40	Facility		$20.44	$20.57	$2,156.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $20.57 / $24.02	Professional		$19.96	$20.57	$24.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.20 / $44.48 / $83.01	Facility		$23.20	$44.48	$83.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $20.35 / $20.35	Professional		$19.32	$20.35	$20.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Professional		$19.97	$19.97	$19.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $29.95 / $2,028.00	Facility		$19.97	$29.95	$2,028.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $20.44 / $23.96	Professional		$19.97	$20.44	$23.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $22.82 / $22.96	Professional		$22.21	$22.82	$22.96
United Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $21.19	Professional		$19.97	$19.97	$21.19