Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.96 / $12.96 / $40.44	Facility		$12.96	$12.96	$40.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $12.96 / $13.77	Professional		$12.96	$12.96	$13.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.88 / $27.83 / $63.13	Facility		$16.88	$27.83	$63.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $14.47 / $18.78	Professional		$13.21	$14.47	$18.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $13.97	Professional		$13.25	$13.25	$13.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $25.27 / $36.06	Facility		$12.99	$25.27	$36.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $12.99 / $16.14	Professional		$12.96	$12.99	$16.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $14.84	Professional		$13.25	$13.25	$14.84