Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $13.58 / $13.58	Facility		$13.58	$13.58	$13.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $13.58 / $14.25	Professional		$8.02	$13.58	$14.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $17.82 / $17.82	Facility		$17.82	$17.82	$17.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $18.54 / $24.07	Professional		$16.94	$18.54	$24.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $7.28 / $26.19	Professional		$7.28	$7.28	$26.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $14.81	Facility		$12.88	$12.88	$14.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $12.88 / $21.40	Professional		$12.75	$12.88	$21.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $75.00 / $100.00	Professional		$15.16	$75.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $8.36 / $12.75	Professional		$6.30	$8.36	$12.75