Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.15 / $32.38 / $66.56	Facility		$13.15	$32.38	$66.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $16.55 / $25.70	Professional		$10.58	$16.55	$25.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.43 / $18.43 / $18.43	Facility		$18.43	$18.43	$18.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $19.35 / $24.88	Professional		$17.51	$19.35	$24.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $20.76 / $52.37	Professional		$12.13	$20.76	$52.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $32.38 / $66.56	Facility		$16.55	$32.38	$66.56
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $20.21 / $29.52	Professional		$13.15	$20.21	$29.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $23.83 / $32.57	Professional		$20.30	$23.83	$32.57