Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $2.88 / $8.99	Facility		$2.88	$2.88	$8.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $2.88 / $3.06	Professional		$2.88	$2.88	$3.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $31.82 / $59.39	Facility		$16.60	$31.82	$59.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $15.13 / $18.19	Professional		$13.82	$15.13	$18.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $3.06 / $3.06	Professional		$1.61	$3.06	$3.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $5.62 / $53.14	Facility		$2.88	$5.62	$53.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.18 / $3.81	Professional		$2.88	$3.18	$3.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $75.00 / $100.00	Professional		$30.00	$75.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.23	Professional		$3.00	$3.00	$3.23