Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $13.10 / $40.86	Facility		$13.10	$13.10	$40.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $13.10 / $13.10	Professional		$13.10	$13.10	$13.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.25 / $15.25 / $15.25	Facility		$15.25	$15.25	$15.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $15.25 / $15.25	Professional		$14.49	$15.25	$15.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $13.91 / $13.91	Professional		$13.91	$13.91	$13.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $18.48 / $36.45	Facility		$13.10	$18.48	$36.45
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $14.46 / $17.35	Professional		$13.10	$14.46	$17.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $13.64 / $14.47	Professional		$13.64	$13.64	$14.47