Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.48 / $15.49 / $48.30	Facility		$15.48	$15.49	$48.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.49 / $18.19	Professional		$15.04	$15.49	$18.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.59 / $33.49 / $63.34	Facility		$18.59	$33.49	$63.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $15.32 / $15.32	Professional		$14.55	$15.32	$15.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $15.66	Professional		$15.04	$15.04	$15.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $19.35 / $43.07	Facility		$15.04	$19.35	$43.07
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.48 / $18.04	Professional		$15.04	$15.48	$18.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $17.28 / $17.29	Professional		$17.27	$17.28	$17.29
United Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $15.96	Professional		$15.04	$15.04	$15.96