Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.56 / $2.56 / $2.56	Facility		$2.56	$2.56	$2.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.56 / $2.56	Professional		$2.49	$2.56	$2.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.90 / $18.39 / $36.67	Facility		$11.90	$18.39	$36.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $2.34 / $2.69	Professional		$0.40	$2.34	$2.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $11.58	Professional		$2.49	$2.49	$11.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $2.56 / $15.00	Facility		$2.49	$2.56	$15.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $3.38	Professional		$2.49	$2.49	$3.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $9.09 / $30.00	Professional		$2.73	$9.09	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $2.64	Professional		$2.49	$2.49	$2.64