Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $17.30 / $17.30	Facility		$17.30	$17.30	$17.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $17.10 / $17.30	Professional		$14.90	$17.10	$17.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.83 / $107.31 / $205.91	Facility		$54.83	$107.31	$205.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.61 / $37.49 / $37.49	Professional		$35.61	$37.49	$37.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.44 / $20.23 / $24.41	Professional		$11.44	$20.23	$24.41
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.91 / $14.91 / $17.30	Facility		$14.91	$14.91	$17.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $14.91 / $34.11	Professional		$12.76	$14.91	$34.11
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 $12.73 / $16.54 / $23.65	Professional		$12.73	$16.54	$23.65