Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $18.57 / $28.98	Facility		$18.57	$18.57	$28.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $18.57 / $18.57	Professional		$16.04	$18.57	$18.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.37 / $22.13 / $38.86	Facility		$15.37	$22.13	$38.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $14.67 / $19.80	Professional		$9.98	$14.67	$19.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $22.30 / $27.88	Professional		$15.04	$22.30	$27.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $18.57 / $34.14	Facility		$17.64	$18.57	$34.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $23.47 / $28.98	Professional		$18.57	$23.47	$28.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $16.19 / $21.85	Professional		$14.57	$16.19	$21.85
United Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $15.67 / $16.97	Professional		$8.22	$15.67	$16.97