Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.79 / $22.79 / $71.09	Facility		$22.79	$22.79	$71.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $22.79 / $24.22	Professional		$22.79	$22.79	$24.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.31 / $15.20 / $28.89	Facility		$7.31	$15.20	$28.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.24 / $6.55	Professional		$4.79	$5.24	$6.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $4.04 / $11.66	Professional		$4.04	$4.04	$11.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $8.65 / $44.44 / $63.41	Facility		$8.65	$44.44	$63.41
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $9.94 / $22.79	Professional		$8.65	$9.94	$22.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $7.27 / $55.00	Professional		$7.27	$7.27	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.50 / $3.50	Professional		$3.50	$3.50	$3.50