Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.03 / $126.84 / $241.08	Facility		$61.03	$126.84	$241.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.96 / $43.74 / $56.78	Professional		$39.96	$43.74	$56.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $18.70 / $75.34	Professional		$18.70	$18.70	$75.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00