Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.69 / $26.69 / $33.36	Facility		$26.69	$26.69	$33.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $24.80 / $29.54	Professional		$18.88	$24.80	$29.54
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 $9.32 / $15.10 / $43.58	Professional		$9.32	$15.10	$43.58
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 $18.88 / $23.90 / $36.92	Professional		$18.88	$23.90	$36.92
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 $8.82 / $13.45 / $20.22	Professional		$8.82	$13.45	$20.22