Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.02 / $19.02 / $19.02	Facility		$19.02	$19.02	$19.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $19.02 / $19.97	Professional		$12.20	$19.02	$19.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.25 / $75.33 / $143.18	Facility		$36.25	$75.33	$143.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.73 / $25.98 / $33.72	Professional		$23.73	$25.98	$33.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $36.67	Professional		$10.19	$10.19	$36.67
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.01 / $17.01 / $19.02	Facility		$17.01	$17.01	$19.02
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $17.01 / $29.97	Professional		$17.01	$17.01	$29.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $16.85 / $26.38	Professional		$14.66	$16.85	$26.38
United Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $11.94 / $17.64	Professional		$8.83	$11.94	$17.64