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 $156.71 / $325.68 / $619.02	Facility		$156.71	$325.68	$619.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.60 / $112.32 / $140.40	Professional		$102.60	$112.32	$140.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.48 / $196.48 / $196.48	Professional		$196.48	$196.48	$196.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $62.24 / $62.24	Facility		$1.26	$62.24	$62.24
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $62.24 / $117.24	Professional		$1.26	$62.24	$117.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00