Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.37 / $17.38 / $57.60	Facility		$17.37	$17.38	$57.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $17.38 / $18.05	Professional		$15.00	$17.38	$18.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $20.69 / $36.34	Facility		$14.37	$20.69	$36.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.72 / $18.52	Professional		$9.33	$13.72	$18.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $19.13 / $23.91	Professional		$9.61	$19.13	$23.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.37 / $17.70 / $57.17	Facility		$17.37	$17.70	$57.17
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.55 / $17.70 / $21.73	Professional		$15.55	$17.70	$21.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $15.14 / $20.43	Professional		$13.62	$15.14	$20.43
United Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $10.97 / $11.71	Professional		$7.68	$10.97	$11.71