Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.33 / $3.33 / $3.33	Facility		$3.33	$3.33	$3.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $3.33 / $3.54	Professional		$3.33	$3.33	$3.54
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 $6.78 / $6.78 / $39.53	Professional		$6.78	$6.78	$39.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3.33 / $3.68 / $4.16	Facility		$3.33	$3.68	$4.16
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $3.68 / $4.59	Professional		$3.33	$3.68	$4.59
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 $9.97 / $14.08 / $23.46	Professional		$9.97	$14.08	$23.46