Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.33 / $23.33 / $36.39	Facility		$23.33	$23.33	$36.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $23.33 / $23.33	Professional		$20.14	$23.33	$23.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.29 / $27.78 / $48.79	Facility		$19.29	$27.78	$48.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $18.42 / $24.87	Professional		$12.53	$18.42	$24.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $28.08 / $35.11	Professional		$9.22	$28.08	$35.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.97 / $23.33 / $42.87	Facility		$15.97	$23.33	$42.87
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $22.16 / $29.47	Professional		$15.97	$22.16	$29.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $20.32 / $27.44	Professional		$18.29	$20.32	$27.44
United Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $10.31 / $15.72	Professional		$7.36	$10.31	$15.72