Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.26 / $20.26 / $20.26	Facility		$20.26	$20.26	$20.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $17.04 / $21.34	Professional		$14.48	$17.04	$21.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.39 / $25.39 / $25.39	Facility		$25.39	$25.39	$25.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.12 / $27.16 / $31.74	Professional		$24.12	$27.16	$31.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.96 / $19.07 / $44.74	Professional		$14.96	$19.07	$44.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.65 / $14.65 / $20.26	Facility		$14.65	$14.65	$20.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $16.98 / $23.38	Professional		$14.65	$16.98	$23.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $10.86 / $75.00	Professional		$10.86	$10.86	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.54 / $17.86 / $25.64	Professional		$14.54	$17.86	$25.64