Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $19.57 / $19.57	Facility		$19.57	$19.57	$19.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $19.57 / $33.60	Professional		$16.32	$19.57	$33.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.32 / $77.56 / $147.41	Facility		$37.32	$77.56	$147.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.43 / $26.75 / $33.44	Professional		$24.43	$26.75	$33.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $10.49 / $48.69	Professional		$10.49	$10.49	$48.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.52 / $17.52 / $19.57	Facility		$17.52	$17.52	$19.57
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $19.57 / $33.60	Professional		$17.48	$19.57	$33.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $17.37 / $27.19	Professional		$15.11	$17.37	$27.19
United Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $12.08 / $18.18	Professional		$9.09	$12.08	$18.18