Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $14.82 / $14.82	Facility		$14.82	$14.82	$14.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $14.82 / $24.57	Professional		$14.82	$14.82	$24.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $9.00 / $9.00	Facility		$9.00	$9.00	$9.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $9.00 / $12.15	Professional		$8.55	$9.00	$12.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $11.72 / $124.80	Professional		$4.38	$11.72	$124.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $9.35 / $14.82	Facility		$9.35	$9.35	$14.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $9.35 / $14.82	Professional		$8.06	$9.35	$14.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $1,500.00	Professional		$1,500.00	$1,500.00	$1,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.22 / $5.63 / $9.13	Professional		$4.22	$5.63	$9.13