Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $20.00 / $20.00	Professional		$12.00	$20.00	$20.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.95 / $70.56 / $134.12	Facility		$33.95	$70.56	$134.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $24.34 / $30.42	Professional		$22.23	$24.34	$30.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $28.91 / $28.91	Professional		$19.48	$28.91	$28.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $28.56 / $28.56	Facility		$20.00	$28.56	$28.56
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $28.56 / $35.70	Professional		$20.00	$28.56	$35.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.37 / $75.00 / $100.00	Professional		$22.37	$75.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.59 / $38.59 / $38.59	Professional		$38.59	$38.59	$38.59