Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.63 / $10.63 / $10.74	Facility		$10.63	$10.63	$10.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $10.63 / $10.74	Professional		$6.93	$10.63	$10.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $65.00 / $169.05	Facility		$15.93	$65.00	$169.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $16.57 / $21.51	Professional		$15.13	$16.57	$21.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $9.52 / $13.73	Professional		$9.52	$9.52	$13.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $9.75 / $9.75 / $10.63	Facility		$9.75	$9.75	$10.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $10.11 / $15.68	Professional		$9.64	$10.11	$15.68
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 / $10.68 / $12.71	Professional		$8.13	$10.68	$12.71