Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.46 / $8.46 / $10.58	Facility		$8.46	$8.46	$10.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $10.58 / $21.00	Professional		$10.58	$10.58	$21.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $17.94 / $31.79	Facility		$12.51	$17.94	$31.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $12.00 / $16.20	Professional		$11.40	$12.00	$16.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $23.75	Professional		$19.00	$19.00	$23.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $8.03 / $8.46 / $15.55	Facility		$8.03	$8.46	$15.55
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $10.70 / $20.00	Professional		$10.58	$10.70	$20.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00