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 / $54.00 / $90.00	Professional		$0.02	$54.00	$90.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $13.91 / $13.91	Facility		$13.91	$13.91	$13.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $13.91 / $18.78	Professional		$9.46	$13.91	$18.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.81 / $28.91 / $36.14	Professional		$24.81	$28.91	$36.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $22.01	Facility		$0.02	$0.02	$22.01
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $22.01 / $27.61	Professional		$22.01	$22.01	$27.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00