Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.85 / $15.39 / $24.01	Facility		$13.85	$15.39	$24.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $15.39 / $15.39	Professional		$13.28	$15.39	$15.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.73 / $18.32 / $32.18	Facility		$12.73	$18.32	$32.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $12.15 / $16.39	Professional		$8.26	$12.15	$16.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $18.59 / $23.23	Professional		$10.14	$18.59	$23.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $15.39 / $28.28	Facility		$14.40	$15.39	$28.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $17.55 / $20.25	Professional		$14.58	$17.55	$20.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $13.41 / $30.00	Professional		$12.06	$13.41	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $10.85 / $18.55	Professional		$6.80	$10.85	$18.55