Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.10 / $17.10 / $4,933.00	Facility		$17.10	$17.10	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.76 / $17.10 / $17.10	Professional		$14.76	$17.10	$17.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.14 / $20.36 / $35.76	Facility		$14.14	$20.36	$35.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $13.50 / $18.23	Professional		$9.18	$13.50	$18.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $20.65 / $25.81	Professional		$13.84	$20.65	$25.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.10 / $17.10 / $31.42	Facility		$17.10	$17.10	$31.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $21.60 / $25.20	Professional		$16.03	$21.60	$25.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $14.90 / $20.11	Professional		$13.41	$14.90	$20.11
United Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $18.00 / $18.00	Facility		$9.00	$18.00	$18.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $14.73 / $15.61	Professional		$7.56	$14.73	$15.61