Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.03 / $12.03 / $18.77	Facility		$12.03	$12.03	$18.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $12.03 / $13.19	Professional		$10.38	$12.03	$13.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.35 / $14.33 / $25.16	Facility		$10.35	$14.33	$25.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $9.50 / $12.83	Professional		$6.46	$9.50	$12.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $14.46 / $18.07	Professional		$8.49	$14.46	$18.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $7.92 / $12.03 / $22.11	Facility		$7.92	$12.03	$22.11
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $12.03 / $15.19	Professional		$7.92	$12.03	$15.19
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 $3.65 / $5.12 / $8.38	Professional		$3.65	$5.12	$8.38