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 $287.30 / $597.09 / $1,134.88	Facility		$287.30	$597.09	$1,134.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.10 / $205.92 / $267.30	Professional		$188.10	$205.92	$267.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.58 / $309.58 / $309.58	Professional		$309.58	$309.58	$309.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Facility		$1.26	$1.26	$1.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Professional		$1.26	$1.26	$1.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00