Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.22 / $2.22 / $2.22	Facility		$2.22	$2.22	$2.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $2.22 / $2.50	Professional		$1.70	$2.22	$2.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $23.07 / $43.85	Facility		$10.81	$23.07	$43.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $7.96 / $9.94	Professional		$7.27	$7.96	$9.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $2.47 / $6.21	Professional		$0.48	$2.47	$6.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $2.22 / $2.94	Facility		$0.21	$2.22	$2.94
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.94 / $3.82	Professional		$2.22	$2.94	$3.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.65 / $17.65 / $55.00	Professional		$17.65	$17.65	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.21 / $1.95 / $3.56	Professional		$1.21	$1.95	$3.56