Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $18.85 / $58.81	Facility		$18.55	$18.85	$58.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.55 / $4,130.70	Professional		$18.01	$18.55	$4,130.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.91 / $40.09 / $74.81	Facility		$20.91	$40.09	$74.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $17.72 / $17.72	Professional		$16.82	$17.72	$17.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $18.01	Professional		$18.01	$18.01	$18.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $24.97 / $52.45	Facility		$18.01	$24.97	$52.45
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.55 / $21.61	Professional		$18.01	$18.55	$21.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $20.71 / $21.04	Professional		$20.43	$20.71	$21.04
United Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $21.61	Professional		$18.01	$18.01	$21.61