Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Facility		$2.02	$2.02	$2.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $2.02 / $2.02	Professional		$1.22	$2.02	$2.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.88 / $176.41 / $335.30	Facility		$84.88	$176.41	$335.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $60.84 / $76.05	Professional		$55.57	$60.84	$76.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.87 / $93.87 / $287.81	Professional		$93.87	$93.87	$287.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $26.28 / $26.28	Facility		$2.02	$26.28	$26.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $26.28 / $49.50	Professional		$2.02	$26.28	$49.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00