Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $14.37 / $14.37	Facility		$14.37	$14.37	$14.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $14.37 / $43.00	Professional		$14.37	$14.37	$43.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $18.02 / $18.02	Facility		$18.02	$18.02	$18.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $18.02 / $24.33	Professional		$17.12	$18.02	$24.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $14.21 / $14.21	Facility		$14.21	$14.21	$14.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $14.21 / $21.75	Professional		$14.21	$14.21	$21.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $14.37 / $14.37	Facility		$14.37	$14.37	$14.37
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $14.37 / $18.02	Professional		$14.37	$14.37	$18.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $10.81 / $16.17	Professional		$8.09	$10.81	$16.17