Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $17.98 / $17.98	Facility		$17.98	$17.98	$17.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $17.98 / $20.23	Professional		$13.26	$17.98	$20.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.26 / $71.20 / $135.33	Facility		$34.26	$71.20	$135.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.43 / $24.55 / $31.87	Professional		$22.43	$24.55	$31.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $9.63 / $44.69	Professional		$9.63	$9.63	$44.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $16.09 / $16.09 / $17.98	Facility		$16.09	$16.09	$17.98
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $16.09 / $16.09 / $28.33	Professional		$16.09	$16.09	$28.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.86 / $15.93 / $24.94	Professional		$13.86	$15.93	$24.94
United Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $11.09 / $16.23	Professional		$8.35	$11.09	$16.23