Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $23.09 / $36.02	Facility		$23.09	$23.09	$36.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.93 / $23.09 / $23.09	Professional		$19.93	$23.09	$23.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $27.49 / $48.29	Facility		$19.09	$27.49	$48.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $18.23 / $24.61	Professional		$12.40	$18.23	$24.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $28.08 / $37.18	Professional		$18.70	$28.08	$37.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $21.94 / $23.09 / $42.43	Facility		$21.94	$23.09	$42.43
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $29.16 / $36.24	Professional		$23.09	$29.16	$36.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $20.12 / $27.16	Professional		$18.10	$20.12	$27.16
United Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $14.91 / $21.10	Professional		$10.21	$14.91	$21.10