Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.20 / $75.50 / $309.12	Facility		$24.20	$75.50	$309.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.20 / $25.46 / $28.48	Professional		$24.20	$25.46	$28.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.27 / $54.95 / $104.71	Facility		$29.27	$54.95	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $25.77 / $33.45	Professional		$23.54	$25.77	$33.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $31.86	Professional		$25.20	$25.20	$31.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $75.50 / $309.11	Facility		$25.20	$75.50	$309.11
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $24.20 / $25.20 / $32.76	Professional		$24.20	$25.20	$32.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $25.85 / $36.93	Professional		$23.50	$25.85	$36.93
United Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $28.05 / $32.26	Professional		$25.20	$28.05	$32.26