Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.41 / $18.41 / $18.41	Facility		$18.41	$18.41	$18.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $18.41 / $18.41	Professional		$4.05	$18.41	$18.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.50 / $36.20 / $74.15	Facility		$13.50	$36.20	$74.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.83 / $14.18 / $16.88	Professional		$12.83	$14.18	$16.88
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 $18.41 / $18.41 / $18.41	Facility		$18.41	$18.41	$18.41
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $18.41 / $18.41 / $18.41	Professional		$18.41	$18.41	$18.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00