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 / $63.00 / $107.00	Professional		$0.02	$63.00	$107.00
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 / $15.32	Facility		$0.02	$0.02	$15.32
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $15.32 / $19.54	Professional		$15.32	$15.32	$19.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $69.27	Professional		$30.00	$30.00	$69.27