Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.83 / $5.61 / $17.50	Facility		$4.83	$5.61	$17.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.83 / $177.25	Professional		$4.69	$4.83	$177.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.17 / $18.17 / $18.17	Facility		$18.17	$18.17	$18.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.26 / $18.17 / $18.17	Professional		$17.26	$18.17	$18.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $6.93	Professional		$4.69	$4.69	$6.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $9.82 / $21.64	Facility		$4.69	$9.82	$21.64
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.83 / $7.09	Professional		$4.69	$4.83	$7.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.03 / $8.17 / $30.00	Professional		$7.03	$8.17	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $4.98	Professional		$4.69	$4.69	$4.98