Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $13.80 / $15.14	Professional		$9.49	$13.80	$15.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.57 / $71.56 / $137.31	Facility		$36.57	$71.56	$137.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $25.00 / $25.00	Professional		$23.75	$25.00	$25.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $15.79 / $19.04	Professional		$9.46	$15.79	$19.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $11.37 / $11.37 / $13.80	Facility		$11.37	$11.37	$13.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $12.16 / $22.75	Professional		$10.67	$12.16	$22.75
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 $10.57 / $13.71 / $19.70	Professional		$10.57	$13.71	$19.70