Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.35 / $13.35 / $20.83	Facility		$13.35	$13.35	$20.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $13.35 / $13.35	Professional		$11.52	$13.35	$13.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.07 / $15.70 / $27.92	Facility		$11.07	$15.70	$27.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.17 / $10.54 / $14.23	Professional		$7.17	$10.54	$14.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $16.11 / $20.13	Professional		$9.90	$16.11	$20.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $13.35 / $24.53	Facility		$12.68	$13.35	$24.53
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $15.50 / $18.41	Professional		$12.08	$15.50	$18.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $11.64 / $15.71	Professional		$10.47	$11.64	$15.71
United Facility/Professional Facility Modifier Low / Median / High Price $5.90 / $12.65 / $16.86	Facility		$5.90	$12.65	$16.86
United Facility/Professional Professional Modifier Low / Median / High Price $5.90 / $8.99 / $11.26	Professional		$5.90	$8.99	$11.26