Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.14 / $5.14 / $5.14	Facility		$5.14	$5.14	$5.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $5.14 / $5.14	Professional		$4.40	$5.14	$5.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $2.41 / $4.94	Facility		$0.90	$2.41	$4.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.86 / $0.95 / $1.12	Professional		$0.86	$0.95	$1.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $19.80 / $19.80	Professional		$19.80	$19.80	$19.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5.14 / $5.14 / $5.14	Facility		$5.14	$5.14	$5.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $5.14 / $5.14	Professional		$4.40	$5.14	$5.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00