Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $8.15 / $8.15	Facility		$8.15	$8.15	$8.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $8.15 / $10.69	Professional		$5.21	$8.15	$10.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.50 / $84.47 / $173.01	Facility		$31.50	$84.47	$173.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $33.08 / $39.38	Professional		$29.92	$33.08	$39.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $15.72	Professional		$9.07	$9.07	$15.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $10.80 / $11.74	Facility		$8.15	$10.80	$11.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.80 / $14.08	Professional		$7.59	$10.80	$14.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $6.85 / $12.39	Professional		$4.38	$6.85	$12.39