Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.69 / $26.69 / $41.64	Facility		$26.69	$26.69	$41.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.12 / $26.69 / $26.69	Professional		$26.12	$26.69	$26.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.29 / $20.79 / $45.10	Facility		$11.29	$20.79	$45.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $9.19 / $12.41	Professional		$6.25	$9.19	$12.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $26.85 / $33.56	Professional		$11.31	$26.85	$33.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $20.29 / $26.69 / $49.04	Facility		$20.29	$26.69	$49.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $23.23 / $36.92	Professional		$8.91	$23.23	$36.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $12.55 / $19.80	Professional		$7.88	$12.55	$19.80