Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.61 / $10.62 / $20.64	Facility		$10.61	$10.62	$20.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $10.62 / $11.95	Professional		$8.14	$10.62	$11.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.12 / $54.28 / $103.17	Facility		$26.12	$54.28	$103.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $18.72 / $23.40	Professional		$17.10	$18.72	$23.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $11.42 / $27.47	Professional		$8.77	$11.42	$27.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $10.61 / $14.07 / $20.64	Facility		$10.61	$14.07	$20.64
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $14.07 / $18.29	Professional		$10.62	$14.07	$18.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $8.77 / $1,500.00	Professional		$8.77	$8.77	$1,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $9.31 / $17.16	Professional		$5.78	$9.31	$17.16