Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.67 / $19.67 / $19.67	Facility		$19.67	$19.67	$19.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.67 / $19.67 / $19.67	Professional		$19.67	$19.67	$19.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.70 / $7.24 / $14.83	Facility		$2.70	$7.24	$14.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.84 / $3.38	Professional		$2.57	$2.84	$3.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $39.60 / $39.60	Professional		$39.60	$39.60	$39.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.67 / $19.67 / $19.67	Facility		$19.67	$19.67	$19.67
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.67 / $19.67 / $19.67	Professional		$19.67	$19.67	$19.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00