Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.42 / $6.42 / $6.42	Facility		$6.42	$6.42	$6.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $6.42 / $8.42	Professional		$4.13	$6.42	$8.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.20 / $115.85 / $237.27	Facility		$43.20	$115.85	$237.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.32 / $43.20 / $51.84	Professional		$3.32	$43.20	$51.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $21.36 / $21.36	Professional		$11.65	$21.36	$21.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $6.42 / $8.51 / $9.26	Facility		$6.42	$8.51	$9.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $8.51 / $12.03	Professional		$6.02	$8.51	$12.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.62 / $29.43 / $55.00	Professional		$19.62	$29.43	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $5.43 / $9.48	Professional		$3.46	$5.43	$9.48