Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $0.99 / $2.48	Facility		$0.99	$0.99	$2.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $0.99 / $0.99	Professional		$0.79	$0.99	$0.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.75 / $42.35 / $75.31	Facility		$30.75	$42.35	$75.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $28.43 / $34.11	Professional		$27.01	$28.43	$34.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Professional		$1.10	$1.10	$1.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $1.83 / $2.48	Facility		$0.99	$1.83	$2.48
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.61 / $0.99	Professional		$0.33	$0.61	$0.99
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 Facility Modifier Low / Median / High Price $235.83 / $235.83 / $235.83	Facility		$235.83	$235.83	$235.83
United Facility/Professional Professional Modifier Low / Median / High Price $235.83 / $235.83 / $250.22	Professional		$235.83	$235.83	$250.22