Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.12 / $4.12 / $4.12	Facility		$4.12	$4.12	$4.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $4.12 / $4.38	Professional		$4.12	$4.12	$4.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.88 / $80.79 / $196.79	Facility		$37.88	$80.79	$196.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $27.86 / $34.83	Professional		$25.45	$27.86	$34.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $13.56 / $39.53	Professional		$13.56	$13.56	$39.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4.12 / $4.55 / $5.15	Facility		$4.12	$4.55	$5.15
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $4.55 / $5.68	Professional		$4.12	$4.55	$5.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $17.27 / $100.00	Professional		$17.27	$17.27	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $14.08 / $23.46	Professional		$8.90	$14.08	$23.46