Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.92 / $35.92 / $35.92	Facility		$35.92	$35.92	$35.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $35.92 / $40.40	Professional		$26.49	$35.92	$40.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $142.28 / $270.42	Facility		$68.45	$142.28	$270.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.82 / $49.07 / $63.69	Professional		$44.82	$49.07	$63.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $19.25 / $89.29	Professional		$19.25	$19.25	$89.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $32.15 / $35.92	Facility		$32.15	$32.15	$35.92
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $56.61	Professional		$32.15	$32.15	$56.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $31.87 / $49.89	Professional		$27.72	$31.87	$49.89
United Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $22.16 / $32.45	Professional		$16.68	$22.16	$32.45