Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $28.52 / $28.52	Facility		$28.52	$28.52	$28.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $28.52 / $28.52	Professional		$11.68	$28.52	$28.52
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 $5.28 / $5.28 / $5.28	Professional		$5.28	$5.28	$5.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $28.52 / $28.52	Facility		$28.52	$28.52	$28.52
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $28.52	Professional		$28.52	$28.52	$28.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00