Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $21.70 / $27.13	Facility		$21.70	$21.70	$27.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $20.17 / $24.02	Professional		$15.50	$20.17	$24.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.94 / $17.03 / $42.06	Facility		$10.94	$17.03	$42.06
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 $8.26 / $13.62 / $35.44	Professional		$8.26	$13.62	$35.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $16.69 / $21.70 / $39.86	Facility		$16.69	$21.70	$39.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $19.53 / $29.77	Professional		$15.95	$19.53	$29.77
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 $6.62 / $11.10 / $16.38	Professional		$6.62	$11.10	$16.38