Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.73 / $13.45 / $36.60	Facility		$11.73	$13.45	$36.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $13.45 / $13.78	Professional		$11.73	$13.45	$13.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.14 / $29.08 / $54.99	Facility		$16.14	$29.08	$54.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $5.05 / $5.05	Professional		$4.80	$5.05	$5.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $13.06 / $21.46	Professional		$13.06	$13.06	$21.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $13.06 / $20.53 / $33.59	Facility		$13.06	$20.53	$33.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $13.06 / $15.67	Professional		$11.73	$13.06	$15.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $13.73 / $15.01	Professional		$13.09	$13.73	$15.01
United Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $13.06 / $15.67	Professional		$13.06	$13.06	$15.67