Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.93 / $24.93 / $38.89	Facility		$24.93	$24.93	$38.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $24.93 / $24.93	Professional		$21.52	$24.93	$24.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.61 / $29.68 / $52.13	Facility		$20.61	$29.68	$52.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $19.68 / $26.57	Professional		$13.38	$19.68	$26.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $30.15 / $37.69	Professional		$15.83	$30.15	$37.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $23.68 / $24.93 / $45.81	Facility		$23.68	$24.93	$45.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $24.77 / $24.93 / $31.62	Professional		$24.77	$24.93	$31.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $21.73 / $29.33	Professional		$19.55	$21.73	$29.33
United Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $15.60 / $18.89	Professional		$11.02	$15.60	$18.89