Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.94 / $4.94 / $4.94	Facility		$4.94	$4.94	$4.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $4.94 / $4.94	Professional		$4.94	$4.94	$4.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.26 / $76.26 / $76.26	Facility		$76.26	$76.26	$76.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $15.88 / $21.44	Professional		$15.09	$15.88	$21.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $12.75 / $12.75	Professional		$12.75	$12.75	$12.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4.94 / $4.94 / $4.94	Facility		$4.94	$4.94	$4.94
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $5.53 / $9.15	Professional		$4.94	$5.53	$9.15
United Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $7.16 / $7.62	Professional		$6.87	$7.16	$7.62