Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.24 / $12.24 / $12.24	Facility		$12.24	$12.24	$12.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $12.24 / $12.24	Professional		$11.88	$12.24	$12.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,658.09 / $2,551.41 / $5,107.91	Facility		$1,658.09	$2,551.41	$5,107.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $7.86 / $12.71	Professional		$2.06	$7.86	$12.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $11.88 / $15.14	Professional		$4.55	$11.88	$15.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $11.88 / $17.82	Facility		$11.88	$11.88	$17.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $14.25	Professional		$11.88	$11.88	$14.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $13.45 / $21.06	Professional		$11.70	$13.45	$21.06
United Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $12.80	Professional		$11.88	$11.88	$12.80