Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.00 / $8.00	Professional		$8.00	$8.00	$8.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.53 / $90.47 / $171.95	Facility		$43.53	$90.47	$171.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $31.20 / $40.50	Professional		$28.50	$31.20	$40.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $21.00 / $21.00	Professional		$14.40	$21.00	$21.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.00 / $8.00	Professional		$8.00	$8.00	$8.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $21.60 / $55.00	Professional		$21.60	$21.60	$55.00