Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $17.01 / $52.70	Facility		$16.89	$17.01	$52.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $17.01 / $21.11	Professional		$16.52	$17.01	$21.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.41 / $36.76 / $69.55	Facility		$20.41	$36.76	$69.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $16.46 / $16.46	Professional		$15.64	$16.46	$16.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $16.52 / $16.52	Professional		$16.52	$16.52	$16.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $21.77 / $47.00	Facility		$16.52	$21.77	$47.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $16.89 / $19.82	Professional		$16.52	$16.89	$19.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $24.60 / $24.78	Professional		$23.43	$24.60	$24.78
United Facility/Professional Facility Modifier Low / Median / High Price $15.62 / $15.62 / $16.55	Facility		$15.62	$15.62	$16.55
United Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $16.52 / $17.53	Professional		$16.52	$16.52	$17.53