Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $12.51 / $39.00	Facility		$12.50	$12.51	$39.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.51 / $14.69	Professional		$12.14	$12.51	$14.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.01 / $27.04 / $51.15	Facility		$15.01	$27.04	$51.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $12.37 / $12.37	Professional		$11.75	$12.37	$12.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $12.14 / $12.14	Professional		$10.24	$12.14	$12.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $15.63 / $34.78	Facility		$12.14	$15.63	$34.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.50 / $14.56	Professional		$12.14	$12.50	$14.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.96 / $13.96 / $13.97	Professional		$13.96	$13.96	$13.97
United Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $12.38	Professional		$12.14	$12.14	$12.38