Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.51 / $15.51 / $15.51	Facility		$15.51	$15.51	$15.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $15.51 / $15.51	Professional		$13.03	$15.51	$15.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.92 / $346.24 / $664.36	Facility		$176.92	$346.24	$664.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.91 / $120.96 / $120.96	Professional		$114.91	$120.96	$120.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $13.47 / $13.47	Professional		$13.47	$13.47	$13.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $13.01 / $15.51 / $103.68	Facility		$13.01	$15.51	$103.68
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $14.50 / $19.09	Professional		$13.01	$14.50	$19.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $13.55 / $20.32	Professional		$8.13	$13.55	$20.32