Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Facility		$35.00	$35.00	$35.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Professional		$35.00	$35.00	$35.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.10 / $21.72 / $44.49	Facility		$8.10	$21.72	$44.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $8.51 / $10.13	Professional		$7.69	$8.51	$10.13
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 $0.72 / $0.72 / $35.00	Facility		$0.72	$0.72	$35.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $0.86 / $35.00	Professional		$0.72	$0.86	$35.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00