Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $22.51 / $22.51	Facility		$22.51	$22.51	$22.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $18.68 / $22.51	Professional		$13.75	$18.68	$22.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.88 / $58.69 / $118.61	Facility		$30.88	$58.69	$118.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.83 / $22.71 / $37.79	Professional		$11.83	$22.71	$37.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $19.64 / $30.96	Professional		$19.64	$19.64	$30.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $18.18 / $18.18 / $22.51	Facility		$18.18	$18.18	$22.51
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $20.36 / $26.41	Professional		$18.18	$20.36	$26.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $75.00 / $100.00	Professional		$30.00	$75.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $21.70 / $32.49	Professional		$18.14	$21.70	$32.49