Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $21.64 / $134.71	Professional		$21.64	$21.64	$134.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.28 / $21.10 / $27.39	Professional		$19.28	$21.10	$27.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.22 / $37.50	Professional		$14.22	$14.22	$37.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $47.22 / $47.22 / $47.22	Facility		$47.22	$47.22	$47.22
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $26.98 / $45.98	Professional		$19.68	$26.98	$45.98
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 $11.36 / $16.23 / $28.51	Professional		$11.36	$16.23	$28.51