Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.54 / $25.54 / $39.84	Facility		$25.54	$25.54	$39.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $25.54 / $25.54	Professional		$23.12	$25.54	$25.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.81 / $30.67 / $53.40	Facility		$21.81	$30.67	$53.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $20.16 / $21.57	Professional		$19.14	$20.16	$21.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $25.68 / $60.48	Professional		$12.55	$25.68	$60.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $24.26 / $25.54 / $46.93	Facility		$24.26	$25.54	$46.93
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $26.70 / $36.29	Professional		$24.19	$26.70	$36.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $24.47 / $40.04	Professional		$22.25	$24.47	$40.04
United Facility/Professional Facility Modifier Low / Median / High Price $11.29 / $24.19 / $32.26	Facility		$11.29	$24.19	$32.26
United Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $16.13 / $28.22	Professional		$11.29	$16.13	$28.22