Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.95 / $23.95 / $37.36	Facility		$23.95	$23.95	$37.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.67 / $23.95 / $23.95	Professional		$20.67	$23.95	$23.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $28.52 / $50.09	Facility		$19.80	$28.52	$50.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $18.91 / $25.53	Professional		$12.86	$18.91	$25.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $28.91 / $36.14	Professional		$18.10	$28.91	$36.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3.21 / $23.95 / $44.01	Facility		$3.21	$23.95	$44.01
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $21.68 / $30.25	Professional		$3.21	$21.68	$30.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $20.87 / $28.17	Professional		$18.78	$20.87	$28.17
United Facility/Professional Facility Modifier Low / Median / High Price $25.21 / $25.21 / $40.02	Facility		$25.21	$25.21	$40.02
United Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $3.40 / $15.13	Professional		$1.48	$3.40	$15.13