Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.51 / $33.25 / $103.74	Facility		$27.51	$33.25	$103.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $27.51 / $33.25	Professional		$26.71	$27.51	$33.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.02 / $58.25 / $110.99	Facility		$31.02	$58.25	$110.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.74 / $22.70 / $29.47	Professional		$20.74	$22.70	$29.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $39.24	Professional		$26.71	$26.71	$39.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $64.58 / $92.52	Facility		$26.71	$64.58	$92.52
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $27.51 / $36.04	Professional		$26.71	$27.51	$36.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $32.29 / $45.48	Professional		$26.71	$32.29	$45.48
United Facility/Professional Facility Modifier Low / Median / High Price $30.32 / $30.32 / $32.14	Facility		$30.32	$30.32	$32.14
United Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $29.73 / $34.19	Professional		$26.71	$29.73	$34.19