Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.97 / $24.97 / $24.97	Facility		$24.97	$24.97	$24.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.97 / $24.97 / $36.63	Professional		$24.97	$24.97	$36.63
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 $2.64 / $2.64 / $2.64	Professional		$2.64	$2.64	$2.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $24.97 / $24.97 / $24.97	Facility		$24.97	$24.97	$24.97
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $24.97 / $24.97 / $24.97	Professional		$24.97	$24.97	$24.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00