Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.02 / $19.02 / $19.02	Facility		$19.02	$19.02	$19.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.02 / $19.02 / $20.21	Professional		$19.02	$19.02	$20.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.11	Facility		$0.02	$0.03	$0.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $11.05 / $11.05	Professional		$11.05	$11.05	$11.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.02 / $21.01 / $23.78	Facility		$19.02	$21.01	$23.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.02 / $21.01 / $25.21	Professional		$19.02	$21.01	$25.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00