Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.42 / $33.42 / $33.42	Facility		$33.42	$33.42	$33.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $33.42 / $38.44	Professional		$24.19	$33.42	$38.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.70 / $132.38 / $251.62	Facility		$63.70	$132.38	$251.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $45.66 / $59.27	Professional		$41.71	$45.66	$59.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $17.91 / $64.77	Professional		$17.91	$17.91	$64.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $29.92 / $29.92 / $33.42	Facility		$29.92	$29.92	$33.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $29.92 / $52.68	Professional		$29.92	$29.92	$52.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.78 / $29.64 / $46.40	Professional		$25.78	$29.64	$46.40
United Facility/Professional Professional Modifier Low / Median / High Price $14.94 / $20.62 / $31.03	Professional		$14.94	$20.62	$31.03