Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.59 / $39.64 / $59.20	Facility		$24.59	$39.64	$59.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $24.12 / $30.49	Professional		$23.88	$24.12	$30.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.73 / $52.06 / $99.20	Facility		$27.73	$52.06	$99.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $16.27 / $21.11	Professional		$14.86	$16.27	$21.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $35.86	Professional		$23.88	$23.88	$35.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $53.36 / $84.84	Facility		$23.88	$53.36	$84.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $24.59 / $35.82	Professional		$23.88	$24.59	$35.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $29.60 / $41.53	Professional		$23.88	$29.60	$41.53
United Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $26.58 / $30.57	Professional		$23.88	$26.58	$30.57