Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.78 / $12.78 / $39.86	Facility		$12.78	$12.78	$39.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $12.94 / $13.58	Professional		$12.78	$12.94	$13.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $2.41 / $4.94	Facility		$0.90	$2.41	$4.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.86 / $0.95 / $1.12	Professional		$0.86	$0.95	$1.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.47 / $13.58 / $13.58	Professional		$5.47	$13.58	$13.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $11.31 / $15.98 / $35.56	Facility		$11.31	$15.98	$35.56
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $14.12 / $16.94	Professional		$12.78	$14.12	$16.94
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 $1.33 / $2.14 / $3.96	Professional		$1.33	$2.14	$3.96