Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $50.94 / $71.31	Facility		$40.75	$50.94	$71.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $40.75 / $43.30	Professional		$40.75	$40.75	$43.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.51 / $80.43 / $152.16	Facility		$43.51	$80.43	$152.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $28.87 / $44.52	Professional		$28.87	$28.87	$44.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $39.74 / $79.45 / $113.39	Facility		$39.74	$79.45	$113.39
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $39.74 / $40.75 / $50.74	Professional		$39.74	$40.75	$50.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $45.12 / $51.89	Professional		$40.53	$45.12	$51.89