Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.83 / $3.83 / $3.83	Facility		$3.83	$3.83	$3.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $3.83 / $4.01	Professional		$2.27	$3.83	$4.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.11 / $15.17 / $28.83	Facility		$7.11	$15.17	$28.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $5.23 / $6.54	Professional		$4.78	$5.23	$6.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $2.58 / $7.62	Professional		$2.58	$2.58	$7.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3.65 / $3.65 / $4.19	Facility		$3.65	$3.65	$4.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $3.65 / $6.04	Professional		$3.61	$3.65	$6.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $75.00 / $100.00	Professional		$4.28	$75.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $2.37 / $3.61	Professional		$1.68	$2.37	$3.61