Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.50 / $22.50 / $22.50	Facility		$22.50	$22.50	$22.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $20.10 / $32.07	Professional		$17.53	$20.10	$32.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.86 / $17.67 / $31.83	Facility		$8.86	$17.67	$31.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $28.76 / $34.24	Professional		$26.02	$28.76	$34.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.76 / $34.86 / $68.87	Professional		$18.76	$34.86	$68.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $22.50 / $32.74 / $32.74	Facility		$22.50	$32.74	$32.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $26.21 / $40.65	Professional		$18.02	$26.21	$40.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $11.72 / $100.00	Professional		$11.72	$11.72	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $26.40 / $40.59	Professional		$18.86	$26.40	$40.59