Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Facility		$3.00	$3.00	$3.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $3.00 / $3.00	Professional		$1.80	$3.00	$3.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.09 / $89.56 / $170.23	Facility		$43.09	$89.56	$170.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $30.89 / $40.10	Professional		$28.21	$30.89	$40.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $8.50 / $33.00	Professional		$8.50	$8.50	$33.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Facility		$3.00	$3.00	$3.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $75.00 / $100.00	Professional		$33.00	$75.00	$100.00