Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.47 / $17.07 / $1,064.70	Facility		$5.47	$17.07	$1,064.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.47 / $5.74 / $510.00	Professional		$5.47	$5.74	$510.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.88 / $12.39 / $23.44	Facility		$6.88	$12.39	$23.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $5.58 / $5.58	Professional		$5.30	$5.58	$5.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.57 / $5.57	Professional		$5.25	$5.57	$5.57
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5.57 / $8.36 / $425.79	Facility		$5.57	$8.36	$425.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.47 / $5.57 / $7.64	Professional		$5.47	$5.57	$7.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.10 / $6.12 / $6.40	Professional		$6.10	$6.12	$6.40
United Facility/Professional Facility Modifier Low / Median / High Price $5.57 / $5.57 / $5.57	Facility		$5.57	$5.57	$5.57
United Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $5.57 / $5.91	Professional		$5.57	$5.57	$5.91