Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $19.76 / $28.08	Facility		$10.68	$19.76	$28.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $10.68 / $11.99	Professional		$10.43	$10.68	$11.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.55 / $20.30 / $43.60	Facility		$13.55	$20.30	$43.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $12.36 / $16.04	Professional		$11.29	$12.36	$16.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $7.87 / $13.16	Professional		$7.87	$7.87	$13.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $12.57 / $28.08	Facility		$10.68	$12.57	$28.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $12.57 / $15.71	Professional		$10.68	$12.57	$15.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $75.00 / $100.00	Professional		$30.00	$75.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $12.57 / $13.55	Professional		$12.57	$12.57	$13.55