Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $3.20 / $3.20	Facility		$3.20	$3.20	$3.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.20 / $4.00	Professional		$3.20	$3.20	$4.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.50 / $60.34 / $123.58	Facility		$22.50	$60.34	$123.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $23.63 / $28.13	Professional		$21.38	$23.63	$28.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $3.96 / $3.96	Professional		$3.96	$3.96	$3.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $3.20 / $3.20	Facility		$3.20	$3.20	$3.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.20 / $4.00	Professional		$3.20	$3.20	$4.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00