Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.81 / $2.81 / $2.81	Facility		$2.81	$2.81	$2.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $2.81 / $2.81	Professional		$1.69	$2.81	$2.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.89 / $209.67 / $398.53	Facility		$100.89	$209.67	$398.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.05 / $72.31 / $90.39	Professional		$66.05	$72.31	$90.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $465.00	Professional		$99.00	$99.00	$465.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.81 / $2.81 / $2.81	Facility		$2.81	$2.81	$2.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $2.81 / $2.81	Professional		$2.81	$2.81	$2.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00