Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $43.98 / $1,753.14	Facility		$19.57	$43.98	$1,753.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.57 / $22.64	Professional		$19.00	$19.57	$22.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $29.04 / $57.23	Facility		$16.00	$29.04	$57.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $14.59 / $18.94	Professional		$13.33	$14.59	$18.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $32.51	Professional		$19.00	$19.00	$32.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $43.98 / $1,634.88	Facility		$19.00	$43.98	$1,634.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.57 / $26.60	Professional		$19.00	$19.57	$26.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $28.74 / $43.11	Professional		$20.90	$28.74	$43.11
United Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.00 / $19.00	Facility		$19.00	$19.00	$19.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $21.15 / $23.56	Professional		$19.00	$21.15	$23.56