Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.91 / $36.14 / $50.59	Facility		$28.91	$36.14	$50.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $28.91 / $30.72	Professional		$28.91	$28.91	$30.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $64.86 / $123.59	Facility		$34.54	$64.86	$123.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $31.51 / $37.88	Professional		$28.79	$31.51	$37.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $30.72 / $30.72	Professional		$11.43	$30.72	$30.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $31.80 / $37.58 / $80.44	Facility		$31.80	$37.58	$80.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $31.80 / $38.15	Professional		$28.91	$31.80	$38.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $47.70 / $47.70	Professional		$30.00	$47.70	$47.70
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $33.40 / $38.40	Professional		$30.00	$33.40	$38.40