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 $5.40 / $14.48 / $29.66	Facility		$5.40	$14.48	$29.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.67 / $6.75	Professional		$5.13	$5.67	$6.75
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 $1.20 / $1.20 / $20.00	Facility		$1.20	$1.20	$20.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.44 / $20.00	Professional		$1.20	$1.44	$20.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00