Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.65 / $25.65 / $25.65	Facility		$25.65	$25.65	$25.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.86 / $25.65 / $26.93	Professional		$15.86	$25.65	$26.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.87 / $101.57 / $193.04	Facility		$48.87	$101.57	$193.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $35.03 / $45.47	Professional		$32.00	$35.03	$45.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $13.74 / $49.53	Professional		$13.74	$13.74	$49.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $22.94 / $22.94 / $25.65	Facility		$22.94	$22.94	$25.65
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.94 / $22.94 / $40.40	Professional		$22.94	$22.94	$40.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $22.72 / $35.56	Professional		$19.76	$22.72	$35.56
United Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $15.81 / $23.80	Professional		$11.90	$15.81	$23.80