Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.26 / $16.26 / $16.26	Facility		$16.26	$16.26	$16.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $14.02 / $18.29	Professional		$9.96	$14.02	$18.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $64.38 / $122.37	Facility		$30.98	$64.38	$122.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $22.20 / $27.76	Professional		$20.28	$22.20	$27.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $32.82	Professional		$8.71	$8.71	$32.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.53 / $14.53 / $16.26	Facility		$14.53	$14.53	$16.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $14.53 / $27.75	Professional		$12.31	$14.53	$27.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $14.39 / $22.53	Professional		$12.52	$14.39	$22.53
United Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $10.19 / $16.02	Professional		$7.54	$10.19	$16.02