Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.22 / $2.22 / $62.34	Facility		$2.22	$2.22	$62.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $2.22 / $2.50	Professional		$1.70	$2.22	$2.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.38 / $7.21 / $14.19	Facility		$3.38	$7.21	$14.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $2.49 / $3.11	Professional		$2.27	$2.49	$3.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $0.75 / $4.59	Professional		$0.40	$0.75	$4.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.22 / $2.94 / $62.34	Facility		$2.22	$2.94	$62.34
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.94 / $3.82	Professional		$2.22	$2.94	$3.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $75.00 / $100.00	Professional		$4.59	$75.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.21 / $1.92 / $3.51	Professional		$1.21	$1.92	$3.51