Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $19.66 / $117.00	Professional		$0.02	$19.66	$117.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.81 / $9.81 / $9.81	Facility		$9.81	$9.81	$9.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.67 / $9.81 / $13.24	Professional		$6.67	$9.81	$13.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $22.30 / $27.88	Professional		$15.89	$22.30	$27.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $23.12	Facility		$0.02	$0.02	$23.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $23.12 / $26.60	Professional		$22.17	$23.12	$26.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.98 / $30.00 / $30.00	Professional		$23.98	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $13.28 / $16.05	Professional		$10.07	$13.28	$16.05