Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.52 / $1.52 / $4.74	Facility		$1.52	$1.52	$4.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $1.52 / $1.52	Professional		$1.52	$1.52	$1.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.94 / $3.63 / $6.62	Facility		$1.94	$3.63	$6.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $1.60 / $1.60	Professional		$1.52	$1.60	$1.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Professional		$1.62	$1.62	$1.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1.52 / $1.90 / $4.23	Facility		$1.52	$1.90	$4.23
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $1.67 / $2.00	Professional		$1.52	$1.67	$2.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $1.68	Professional		$1.58	$1.58	$1.68