Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $19.23 / $96.83	Facility		$17.30	$19.23	$96.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $18.07 / $19.23	Professional		$14.97	$18.07	$19.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $22.89 / $40.21	Facility		$15.90	$22.89	$40.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $15.18 / $20.49	Professional		$10.32	$15.18	$20.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $23.54 / $29.43	Professional		$15.56	$23.54	$29.43
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $19.23 / $80.94	Facility		$17.30	$19.23	$80.94
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $24.28 / $28.33	Professional		$17.64	$24.28	$28.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $16.76 / $22.62	Professional		$15.08	$16.76	$22.62
United Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $12.95 / $28.28	Professional		$8.50	$12.95	$28.28