Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $15.30 / $15.30	Facility		$15.30	$15.30	$15.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $15.30 / $16.05	Professional		$8.77	$15.30	$16.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.15 / $60.58 / $115.15	Facility		$29.15	$60.58	$115.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $20.89 / $26.12	Professional		$19.09	$20.89	$26.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $10.26 / $29.06	Professional		$10.26	$10.26	$29.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $14.51 / $15.69	Facility		$14.12	$14.51	$15.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $14.51 / $24.11	Professional		$14.12	$14.51	$24.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $75.00 / $100.00	Professional		$17.07	$75.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $9.53 / $14.61	Professional		$7.10	$9.53	$14.61