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 / $107.00	Professional		$0.02	$19.66	$107.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $11.00 / $11.00	Facility		$11.00	$11.00	$11.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $11.00 / $14.85	Professional		$7.48	$11.00	$14.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $17.48 / $27.86	Professional		$17.48	$17.48	$27.86
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 $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $13.27 / $16.05	Professional		$10.07	$13.27	$16.05