Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.62 / $15.62 / $15.62	Facility		$15.62	$15.62	$15.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $15.62 / $21.14	Professional		$12.31	$15.62	$21.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.76 / $61.85 / $117.56	Facility		$29.76	$61.85	$117.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $21.33 / $27.69	Professional		$19.48	$21.33	$27.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $8.36 / $38.81	Professional		$8.36	$8.36	$38.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $14.00 / $15.62	Facility		$14.00	$14.00	$15.62
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $15.40 / $24.61	Professional		$14.00	$15.40	$24.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $13.86 / $21.70	Professional		$12.06	$13.86	$21.70
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $9.64 / $14.83	Professional		$7.25	$9.64	$14.83