Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.05 / $43.00 / $68.73	Facility		$1.05	$43.00	$68.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $1.05 / $1.05	Professional		$1.05	$1.05	$1.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.37 / $10.14 / $18.04	Facility		$7.37	$10.14	$18.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $6.81 / $8.17	Professional		$6.47	$6.81	$8.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $6.49 / $6.49	Professional		$6.49	$6.49	$6.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $52.71 / $208.11	Facility		$1.10	$52.71	$208.11
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $1.05 / $6.20	Professional		$1.05	$1.05	$6.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.50 / $65.40 / $109.00	Professional		$54.50	$65.40	$109.00