Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.34 / $20.41 / $22.09	Facility		$15.34	$20.41	$22.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $20.41 / $23.15	Professional		$15.34	$20.41	$23.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.33 / $22.91 / $109.35	Facility		$22.33	$22.91	$109.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.76 / $24.06 / $28.64	Professional		$21.76	$24.06	$28.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $15.18 / $22.25	Professional		$15.18	$15.18	$22.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.65 / $15.60 / $22.09	Facility		$14.65	$15.60	$22.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $17.97 / $24.00	Professional		$14.65	$17.97	$24.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $75.00 / $100.00	Professional		$30.00	$75.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $17.32 / $25.74	Professional		$12.40	$17.32	$25.74