Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.96 / $22.97 / $40.20	Facility		$22.96	$22.97	$40.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.67 / $21.77 / $22.97	Professional		$20.67	$21.77	$22.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $27.36 / $48.05	Facility		$19.00	$27.36	$48.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $18.14 / $24.49	Professional		$12.34	$18.14	$24.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $24.18 / $35.11	Professional		$15.39	$24.18	$35.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $21.82 / $22.97 / $42.21	Facility		$21.82	$22.97	$42.21
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $21.02 / $28.71 / $33.85	Professional		$21.02	$28.71	$33.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $20.02 / $27.02	Professional		$18.01	$20.02	$27.02
United Facility/Professional Facility Modifier Low / Median / High Price $24.18 / $24.18 / $41.10	Facility		$24.18	$24.18	$41.10
United Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $19.79 / $26.72	Professional		$10.16	$19.79	$26.72