Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $48.00	Facility		$23.44	$23.44	$48.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $19.45 / $24.31	Professional		$10.85	$19.45	$24.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $21.41 / $23.88	Facility		$13.91	$21.41	$23.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.27 / $21.41 / $26.76	Professional		$19.27	$21.41	$26.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $16.23 / $20.98	Professional		$12.80	$16.23	$20.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $13.32 / $13.32 / $23.44	Facility		$13.32	$13.32	$23.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.73 / $16.34 / $24.66	Professional		$12.73	$16.34	$24.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $17.98 / $29.86	Professional		$13.47	$17.98	$29.86