Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.69 / $20.69 / $32.28	Facility		$20.69	$20.69	$32.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.86 / $20.69 / $20.69	Professional		$17.86	$20.69	$20.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.11 / $24.64 / $43.28	Facility		$17.11	$24.64	$43.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $16.34 / $22.06	Professional		$11.11	$16.34	$22.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $24.78 / $30.98	Professional		$10.21	$24.78	$30.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.63 / $20.69 / $38.02	Facility		$12.63	$20.69	$38.02
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $15.85 / $25.86	Professional		$12.63	$15.85	$25.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $18.03 / $30.00	Professional		$16.22	$18.03	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $8.06 / $13.07	Professional		$5.64	$8.06	$13.07