Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $32.59	Facility		$20.89	$20.89	$32.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.03 / $20.89 / $20.89	Professional		$18.03	$20.89	$20.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $24.87 / $43.68	Facility		$17.27	$24.87	$43.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $16.48 / $22.26	Professional		$11.21	$16.48	$22.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $25.19 / $33.56	Professional		$16.89	$25.19	$33.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.85 / $20.89 / $38.39	Facility		$19.85	$20.89	$38.39
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.39 / $32.78	Professional		$20.89	$26.39	$32.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $18.21 / $24.58	Professional		$16.38	$18.21	$24.58
United Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $21.99 / $21.99	Facility		$11.00	$21.99	$21.99
United Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $13.48 / $19.07	Professional		$9.24	$13.48	$19.07