Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.95 / $22.95 / $22.95	Facility		$22.95	$22.95	$22.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $22.95 / $24.39	Professional		$22.95	$22.95	$24.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.81 / $85.88 / $171.94	Facility		$55.81	$85.88	$171.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $27.28 / $36.83	Professional		$4.63	$27.28	$36.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $24.39 / $24.39	Professional		$18.29	$24.39	$24.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $22.95 / $30.41 / $30.41	Facility		$22.95	$30.41	$30.41
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $30.41 / $36.49	Professional		$22.95	$30.41	$36.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $30.00 / $50.00	Professional		$18.60	$30.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $28.69 / $34.43	Professional		$28.69	$28.69	$34.43