Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $29.72	Facility		$19.05	$19.05	$29.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.42 / $26.38	Professional		$19.05	$23.42	$26.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.27 / $22.88 / $39.84	Facility		$16.27	$22.88	$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 $10.24 / $22.28 / $45.11	Professional		$10.24	$22.28	$45.11
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 $19.05 / $26.38 / $30.07	Professional		$19.05	$26.38	$30.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.61 / $18.27 / $29.89	Professional		$16.61	$18.27	$29.89
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $16.42 / $27.71	Professional		$8.42	$16.42	$27.71