Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.20 / $21.20 / $21.20	Facility		$21.20	$21.20	$21.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $21.20 / $22.26	Professional		$12.55	$21.20	$22.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.40 / $83.95 / $159.57	Facility		$40.40	$83.95	$159.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.45 / $28.95 / $36.19	Professional		$26.45	$28.95	$36.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.22 / $40.31	Professional		$14.22	$14.22	$40.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $20.12 / $20.12 / $23.13	Facility		$20.12	$20.12	$23.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.26 / $20.12 / $33.40	Professional		$19.26	$20.12	$33.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.45 / $20.06 / $31.41	Professional		$17.45	$20.06	$31.41
United Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $13.07 / $19.92	Professional		$9.84	$13.07	$19.92