Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Facility		$1.26	$1.26	$1.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $1.26 / $1.26	Professional		$0.76	$1.26	$1.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.06 / $488.53 / $928.54	Facility		$235.06	$488.53	$928.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.90 / $168.48 / $210.60	Professional		$153.90	$168.48	$210.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.26 / $191.26 / $191.26	Professional		$191.26	$191.26	$191.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $86.73 / $86.73	Facility		$1.26	$86.73	$86.73
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $86.73 / $163.38	Professional		$1.26	$86.73	$163.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00