Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $50.00 / $50.00	Professional		$0.02	$50.00	$50.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $211.86 / $211.86 / $211.86	Facility		$211.86	$211.86	$211.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.67 / $211.86 / $264.83	Professional		$190.67	$211.86	$264.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $38.77 / $38.77	Professional		$38.77	$38.77	$38.77
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $187.08 / $217.99	Professional		$0.02	$187.08	$217.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00