Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.57 / $20.57 / $20.57	Facility		$20.57	$20.57	$20.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $20.57 / $20.57	Professional		$19.97	$20.57	$20.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.95 / $189.91 / $378.54	Facility		$122.95	$189.91	$378.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.79 / $7.44 / $9.65	Professional		$6.79	$7.44	$9.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $19.97 / $25.43	Professional		$12.05	$19.97	$25.43
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $20.57 / $23.03	Facility		$19.97	$20.57	$23.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $26.56	Professional		$19.97	$19.97	$26.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.93 / $30.00 / $32.25	Professional		$22.93	$30.00	$32.25
United Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $21.83	Professional		$19.97	$19.97	$21.83