Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.57 / $27.57 / $34.46	Facility		$27.57	$27.57	$34.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.63 / $30.51	Professional		$19.50	$25.63	$30.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $13.57 / $24.34	Facility		$9.63	$13.57	$24.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.73 / $9.56 / $11.49	Professional		$8.73	$9.56	$11.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $16.17 / $45.02	Professional		$10.46	$16.17	$45.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $20.95 / $27.57 / $50.66	Facility		$20.95	$27.57	$50.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $24.81 / $38.11	Professional		$20.95	$24.81	$38.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $13.51 / $20.35	Professional		$9.50	$13.51	$20.35