Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $220.28	Facility		$19.05	$19.05	$220.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $19.05 / $23.42	Professional		$16.44	$19.05	$23.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.75 / $22.68 / $39.84	Facility		$15.75	$22.68	$39.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $15.04 / $16.09	Professional		$14.29	$15.04	$16.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $23.13 / $30.46	Professional		$12.72	$23.13	$30.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $18.10 / $19.05 / $35.00	Facility		$18.10	$19.05	$35.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $26.70 / $30.57	Professional		$18.10	$26.70	$30.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.61 / $16.61 / $29.89	Professional		$16.61	$16.61	$29.89
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $12.29 / $23.26	Professional		$8.42	$12.29	$23.26