Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.75 / $23.75 / $37.04	Facility		$23.75	$23.75	$37.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $23.75 / $23.75	Professional		$20.50	$23.75	$23.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.53 / $17.53 / $17.53	Facility		$17.53	$17.53	$17.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $17.53 / $23.67	Professional		$11.92	$17.53	$23.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $25.88 / $32.34	Professional		$13.15	$25.88	$32.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $23.75 / $43.64	Facility		$13.18	$23.75	$43.64
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $18.67 / $30.00	Professional		$13.18	$18.67	$30.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.63 / $20.70 / $27.94	Professional		$18.63	$20.70	$27.94
United Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $13.93 / $25.00	Professional		$8.67	$13.93	$25.00