Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $19.05 / $55.82	Facility		$17.89	$19.05	$55.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $19.05 / $21.02	Professional		$17.89	$19.05	$21.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.86 / $41.18 / $77.90	Facility		$22.86	$41.18	$77.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $18.84 / $18.84	Professional		$17.89	$18.84	$18.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $18.50 / $18.50	Professional		$18.50	$18.50	$18.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $18.50 / $31.31 / $49.78	Facility		$18.50	$31.31	$49.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $18.50 / $22.20	Professional		$17.89	$18.50	$22.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $26.05 / $27.75	Professional		$26.05	$26.05	$27.75
United Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $20.59 / $23.68	Professional		$18.50	$20.59	$23.68