Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.33 / $8.33 / $12.99	Facility		$8.33	$8.33	$12.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.34 / $7.60 / $9.58	Professional		$6.34	$7.60	$9.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.89 / $9.80 / $17.43	Facility		$6.89	$9.80	$17.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $6.84 / $8.23	Professional		$6.25	$6.84	$8.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $6.58 / $16.51	Professional		$4.05	$6.58	$16.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $7.91 / $8.33 / $15.31	Facility		$7.91	$8.33	$15.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $6.84 / $9.40 / $12.22	Professional		$6.84	$9.40	$12.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $75.00 / $75.00	Professional		$30.00	$75.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.68 / $5.26 / $9.64	Professional		$3.68	$5.26	$9.64