Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.39 / $20.39 / $20.39	Facility		$20.39	$20.39	$20.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $20.39 / $21.42	Professional		$12.09	$20.39	$21.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.86 / $80.79 / $153.55	Facility		$38.86	$80.79	$153.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $27.86 / $36.17	Professional		$25.45	$27.86	$36.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $12.04 / $32.99	Professional		$10.93	$12.04	$32.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.37 / $19.37 / $22.27	Facility		$19.37	$19.37	$22.27
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $18.53 / $19.37 / $32.15	Professional		$18.53	$19.37	$32.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $19.48 / $30.49	Professional		$16.94	$19.48	$30.49
United Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $12.59 / $19.19	Professional		$9.47	$12.59	$19.19