Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.69 / $26.69 / $46.71	Facility		$26.69	$26.69	$46.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $26.69 / $26.69	Professional		$18.85	$26.69	$26.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $7.04 / $11.92	Facility		$5.01	$7.04	$11.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $4.50 / $6.08	Professional		$3.06	$4.50	$6.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.51 / $26.85 / $33.56	Professional		$12.51	$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 $20.29 / $24.02 / $36.92	Professional		$20.29	$24.02	$36.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $5.26 / $7.89	Professional		$5.26	$5.26	$7.89
United Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $13.08 / $20.22	Professional		$8.82	$13.08	$20.22