Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $6.31 / $19.69	Facility		$6.31	$6.31	$19.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $6.71	Professional		$6.31	$6.31	$6.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.89 / $1.70 / $3.10	Facility		$0.89	$1.70	$3.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $0.75 / $1.01	Professional		$0.71	$0.75	$1.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.71 / $6.71 / $6.71	Facility		$6.71	$6.71	$6.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $6.71 / $6.71	Professional		$0.94	$6.71	$6.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1.06 / $6.97 / $17.55	Facility		$1.06	$6.97	$17.55
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.97 / $8.36	Professional		$6.31	$6.97	$8.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $1,500.00	Professional		$1,500.00	$1,500.00	$1,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $6.58 / $6.98	Professional		$6.25	$6.58	$6.98