Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.61 / $18.61 / $29.03	Facility		$18.61	$18.61	$29.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $18.61 / $18.61	Professional		$16.05	$18.61	$18.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.39 / $22.16 / $38.90	Facility		$15.39	$22.16	$38.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $14.69 / $19.82	Professional		$9.99	$14.69	$19.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.12 / $22.72 / $29.94	Professional		$16.12	$22.72	$29.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.68 / $18.61 / $34.20	Facility		$17.68	$18.61	$34.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $18.61 / $24.48 / $31.96	Professional		$18.61	$24.48	$31.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $12.86 / $18.20	Professional		$8.23	$12.86	$18.20