Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.48 / $12.48 / $12.48	Facility		$12.48	$12.48	$12.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $12.48 / $13.26	Professional		$12.48	$12.48	$13.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $4.09 / $4.09	Facility		$4.09	$4.09	$4.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Professional		$13.26	$13.26	$13.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.48 / $12.48 / $12.48	Facility		$12.48	$12.48	$12.48
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $12.48 / $13.26	Professional		$12.48	$12.48	$13.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $14.01	Professional		$13.00	$13.00	$14.01