Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $17.89 / $17.89	Facility		$17.89	$17.89	$17.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $17.89 / $18.79	Professional		$10.60	$17.89	$18.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.10 / $70.87 / $134.69	Facility		$34.10	$70.87	$134.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $24.44 / $30.55	Professional		$22.33	$24.44	$30.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $34.22	Professional		$12.00	$12.00	$34.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $19.52	Facility		$16.98	$16.98	$19.52
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $16.98 / $28.20	Professional		$16.25	$16.98	$28.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $16.95 / $26.53	Professional		$14.74	$16.95	$26.53
United Facility/Professional Professional Modifier Low / Median / High Price $8.31 / $11.23 / $16.82	Professional		$8.31	$11.23	$16.82