Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.49 / $27.49 / $27.49	Facility		$27.49	$27.49	$27.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $27.49 / $29.89	Professional		$18.50	$27.49	$29.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.38 / $108.86 / $206.91	Facility		$52.38	$108.86	$206.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $37.54 / $48.74	Professional		$34.29	$37.54	$48.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $53.34	Professional		$14.73	$14.73	$53.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $24.59 / $24.59 / $27.49	Facility		$24.59	$24.59	$27.49
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $24.59 / $43.32	Professional		$24.59	$24.59	$43.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.19 / $24.36 / $38.14	Professional		$21.19	$24.36	$38.14
United Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $16.95 / $26.06	Professional		$12.01	$16.95	$26.06