Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $1.69 / $1.69	Facility		$1.69	$1.69	$1.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.69 / $2.80	Professional		$1.69	$1.69	$2.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.53 / $3.26 / $6.41	Facility		$1.53	$3.26	$6.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.03 / $1.12 / $1.46	Professional		$1.03	$1.12	$1.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $1.89 / $3.68	Professional		$1.89	$1.89	$3.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $3.45 / $3.45	Facility		$1.69	$3.45	$3.45
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $3.45 / $4.30	Professional		$1.69	$3.45	$4.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.68 / $75.00 / $100.00	Professional		$3.68	$75.00	$100.00