Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.12 / $0.12	Facility		$0.12	$0.12	$0.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.19	Professional		$0.12	$0.12	$0.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.34 / $1.34 / $1.34	Facility		$1.34	$1.34	$1.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.27 / $1.41 / $1.68	Professional		$1.27	$1.41	$1.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $39.60 / $39.60	Professional		$39.60	$39.60	$39.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.12 / $0.12	Facility		$0.12	$0.12	$0.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.15	Professional		$0.12	$0.12	$0.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00