Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.82 / $0.82 / $0.82	Facility		$0.82	$0.82	$0.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.82 / $0.84 / $0.87	Professional		$0.82	$0.84	$0.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.41 / $175.15 / $338.40	Facility		$90.41	$175.15	$338.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $61.17 / $72.83	Professional		$55.35	$61.17	$72.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $2.38 / $2.38	Professional		$2.38	$2.38	$2.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.82 / $0.90 / $1.02	Facility		$0.82	$0.90	$1.02
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $0.82 / $0.90 / $1.17	Professional		$0.82	$0.90	$1.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00