Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.47 / $2.47 / $2.47	Facility		$2.47	$2.47	$2.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $2.47 / $2.78	Professional		$1.89	$2.47	$2.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.18 / $81.42 / $154.76	Facility		$39.18	$81.42	$154.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $28.08 / $35.10	Professional		$25.65	$28.08	$35.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $2.12 / $27.47	Professional		$2.12	$2.12	$27.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.47 / $3.27 / $3.27	Facility		$2.47	$3.27	$3.27
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $3.27 / $4.26	Professional		$2.47	$3.27	$4.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $8.10 / $55.00	Professional		$8.10	$8.10	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $2.06 / $3.90	Professional		$1.34	$2.06	$3.90