Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $39.00 / $65.00	Professional		$0.02	$39.00	$65.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.87 / $11.87 / $11.87	Facility		$11.87	$11.87	$11.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $11.87 / $16.02	Professional		$8.07	$11.87	$16.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $28.08 / $35.11	Professional		$19.07	$28.08	$35.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $9.40	Facility		$0.02	$0.02	$9.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $9.40 / $11.80	Professional		$9.40	$9.40	$11.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00