Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.02 / $14.02 / $35.04	Facility		$14.02	$14.02	$35.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.02 / $14.02 / $14.90	Professional		$14.02	$14.02	$14.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.46 / $53.56 / $114.13	Facility		$35.46	$53.56	$114.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.55 / $32.34 / $41.99	Professional		$29.55	$32.34	$41.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Facility		$70.00	$70.00	$70.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $62.05 / $68.37	Professional		$62.05	$62.05	$68.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.02 / $35.04 / $60.83	Facility		$14.02	$35.04	$60.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.02 / $60.83 / $72.98	Professional		$14.02	$60.83	$72.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Professional		$75.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $62.05 / $66.88	Professional		$62.05	$62.05	$66.88