Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.69 / $13.74 / $42.87	Facility		$13.69	$13.74	$42.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.69 / $16.14	Professional		$13.29	$13.69	$16.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.42 / $29.58 / $55.94	Facility		$16.42	$29.58	$55.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $13.53 / $13.53	Professional		$12.85	$13.53	$13.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.44 / $13.29 / $13.29	Professional		$12.44	$13.29	$13.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $17.18 / $38.22	Facility		$13.29	$17.18	$38.22
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.69 / $15.94	Professional		$13.29	$13.69	$15.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.95 / $15.28 / $15.34	Professional		$14.95	$15.28	$15.34
United Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $14.10	Professional		$13.29	$13.29	$14.10