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 $18.89 / $50.68 / $103.81	Facility		$18.89	$50.68	$103.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $19.85 / $23.63	Professional		$17.96	$19.85	$23.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.74 / $26.74 / $26.74	Professional		$26.74	$26.74	$26.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.09 / $35.00	Facility		$0.09	$0.09	$35.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.10 / $35.00	Professional		$0.09	$0.10	$35.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00