Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.21 / $52.59 / $177.34	Facility		$3.21	$52.59	$177.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $3.21 / $3.21	Professional		$2.56	$3.21	$3.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.41 / $15.72 / $27.95	Facility		$11.41	$15.72	$27.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $10.55 / $12.66	Professional		$10.02	$10.55	$12.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $3.57 / $3.57	Professional		$0.60	$3.57	$3.57
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3.11 / $22.60 / $177.34	Facility		$3.11	$22.60	$177.34
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $3.11 / $4.63	Professional		$0.39	$3.11	$4.63
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 $2.35 / $5.08 / $9.59	Professional		$2.35	$5.08	$9.59