Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.55 / $14.55 / $14.55	Facility		$14.55	$14.55	$14.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $14.55 / $14.55	Professional		$11.15	$14.55	$14.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.40 / $497.74 / $678.06	Facility		$426.40	$497.74	$678.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $14.70 / $19.39	Professional		$2.96	$14.70	$19.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $19.41 / $75.20	Professional		$9.44	$19.41	$75.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.03 / $12.03 / $14.55	Facility		$12.03	$12.03	$14.55
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $13.10 / $19.48	Professional		$12.03	$13.10	$19.48
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 Facility Modifier Low / Median / High Price $464.00 / $1,247.00 / $1,844.00	Facility		$464.00	$1,247.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $15.58 / $20.87	Professional		$13.44	$15.58	$20.87