Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.93 / $11.49 / $35.85	Facility		$9.93	$11.49	$35.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.93 / $13.50	Professional		$9.64	$9.93	$13.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.91 / $21.47 / $40.60	Facility		$11.91	$21.47	$40.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $5.69 / $5.69	Professional		$5.41	$5.69	$5.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $45.52	Professional		$9.64	$9.64	$45.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $9.64 / $14.94 / $31.97	Facility		$9.64	$14.94	$31.97
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.93 / $11.70	Professional		$9.64	$9.93	$11.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $12.83 / $15.96	Professional		$11.08	$12.83	$15.96
United Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $66.50 / $71.93	Professional		$9.64	$66.50	$71.93