Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.18 / $27.18 / $84.80	Facility		$27.18	$27.18	$84.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.18 / $27.18 / $30.02	Professional		$27.18	$27.18	$30.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.01 / $66.66 / $126.11	Facility		$37.01	$66.66	$126.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $30.50 / $30.50	Professional		$28.97	$30.50	$30.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $28.88	Professional		$28.88	$28.88	$28.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $27.18 / $33.97 / $75.63	Facility		$27.18	$33.97	$75.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $27.18 / $30.02 / $36.02	Professional		$27.18	$30.02	$36.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $34.52 / $34.52	Professional		$34.52	$34.52	$34.52
United Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $28.32 / $30.04	Professional		$28.32	$28.32	$30.04