Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $17.32 / $134.72	Facility		$17.32	$17.32	$134.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.95 / $17.32 / $17.32	Professional		$14.95	$17.32	$17.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $20.62 / $36.21	Facility		$14.32	$20.62	$36.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $13.67 / $18.45	Professional		$9.30	$13.67	$18.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $20.65 / $25.81	Professional		$10.14	$20.65	$25.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $17.32 / $43.95	Facility		$17.32	$17.32	$43.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.55 / $22.42	Professional		$17.32	$17.55	$22.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $15.10 / $20.38	Professional		$13.59	$15.10	$20.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $10.88 / $18.43	Professional		$7.66	$10.88	$18.43