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 / $21.43	Professional		$16.05	$18.61	$21.43
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 $15.06 / $22.72 / $28.39	Professional		$15.06	$22.72	$28.39
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 / $23.51 / $28.52	Professional		$18.61	$23.51	$28.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.59 / $16.22 / $30.00	Professional		$14.59	$16.22	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $15.32 / $16.23	Professional		$8.23	$15.32	$16.23