Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $17.86 / $44.65	Facility		$17.86	$17.86	$44.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.86 / $17.86 / $17.86	Professional		$17.86	$17.86	$17.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.45 / $28.17 / $50.09	Facility		$20.45	$28.17	$50.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $18.91 / $22.69	Professional		$17.96	$18.91	$22.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $17.80 / $17.86	Professional		$15.99	$17.80	$17.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $18.91 / $21.01 / $33.04	Facility		$18.91	$21.01	$33.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $17.86 / $21.01 / $25.21	Professional		$17.86	$21.01	$25.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $21.01 / $22.29	Professional		$21.01	$21.01	$22.29