Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.37 / $22.37 / $22.37	Facility		$22.37	$22.37	$22.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $22.37 / $23.49	Professional		$13.24	$22.37	$23.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.63 / $88.60 / $168.40	Facility		$42.63	$88.60	$168.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.91 / $30.56 / $38.19	Professional		$27.91	$30.56	$38.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $15.00 / $42.66	Professional		$14.51	$15.00	$42.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $21.23 / $24.41	Facility		$21.23	$21.23	$24.41
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $21.23 / $35.26	Professional		$20.30	$21.23	$35.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $16.68 / $26.11	Professional		$14.51	$16.68	$26.11
United Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $13.79 / $21.02	Professional		$10.38	$13.79	$21.02