Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.75 / $25.75 / $40.17	Facility		$25.75	$25.75	$40.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $25.75 / $25.75	Professional		$22.23	$25.75	$25.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.29 / $30.66 / $53.85	Facility		$21.29	$30.66	$53.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $20.32 / $27.45	Professional		$13.82	$20.32	$27.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $31.39 / $39.24	Professional		$13.49	$31.39	$39.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.94 / $25.75 / $47.32	Facility		$14.94	$25.75	$47.32
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.94 / $24.46 / $32.53	Professional		$14.94	$24.46	$32.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $22.45 / $30.30	Professional		$20.20	$22.45	$30.30
United Facility/Professional Professional Modifier Low / Median / High Price $6.67 / $9.59 / $16.27	Professional		$6.67	$9.59	$16.27