Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.21 / $1.21 / $1.21	Facility		$1.21	$1.21	$1.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.21 / $1.21 / $1.42	Professional		$1.21	$1.21	$1.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $0.23 / $0.51	Facility		$0.14	$0.23	$0.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $95.00 / $135.00	Professional		$16.14	$95.00	$135.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1.21 / $89.18 / $91.00	Facility		$1.21	$89.18	$91.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.21 / $89.18 / $109.20	Professional		$1.21	$89.18	$109.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00