Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.02 / $16.07 / $49.98	Facility		$16.02	$16.07	$49.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $16.07 / $18.82	Professional		$15.61	$16.07	$18.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.29 / $34.75 / $65.73	Facility		$19.29	$34.75	$65.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $15.90 / $15.90	Professional		$15.11	$15.90	$15.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $15.61 / $15.61	Professional		$15.51	$15.61	$15.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.61 / $21.35 / $49.98	Facility		$15.61	$21.35	$49.98
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $16.02 / $18.73	Professional		$15.61	$16.02	$18.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.88 / $17.90 / $17.95	Professional		$17.88	$17.90	$17.95
United Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $16.55	Professional		$15.61	$15.61	$16.55