Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.37 / $38.18 / $57.04	Facility		$29.37	$38.18	$57.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.80 / $31.37	Professional		$28.52	$28.80	$31.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $62.19 / $118.49	Facility		$33.11	$62.19	$118.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $30.21 / $39.22	Professional		$27.60	$30.21	$39.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $28.52	Professional		$28.52	$28.52	$28.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $57.04 / $81.72	Facility		$28.52	$57.04	$81.72
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $29.37 / $34.56	Professional		$28.52	$29.37	$34.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $30.00 / $42.78	Professional		$28.52	$30.00	$42.78
United Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $31.75 / $36.51	Professional		$28.52	$31.75	$36.51