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 $16.20 / $43.44 / $88.98	Facility		$16.20	$43.44	$88.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $17.01 / $20.25	Professional		$15.39	$17.01	$20.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.69 / $34.69 / $34.69	Professional		$34.69	$34.69	$34.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.33 / $35.00	Facility		$0.33	$0.33	$35.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.39 / $35.00	Professional		$0.33	$0.39	$35.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00