Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $25.26 / $96.05	Facility		$10.00	$25.26	$96.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.00 / $35.00	Professional		$10.00	$13.00	$35.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.77 / $51.69 / $97.79	Facility		$29.77	$51.69	$97.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $21.00 / $22.11	Professional		$21.00	$21.00	$22.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $26.94	Professional		$26.94	$26.94	$26.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $27.29 / $60.80	Facility		$10.00	$27.29	$60.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $30.53 / $37.38	Professional		$10.00	$30.53	$37.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.48 / $26.48 / $34.54	Professional		$26.48	$26.48	$34.54
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $21.51 / $33.02	Professional		$13.00	$21.51	$33.02