Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $100.00 / $100.00	Professional		$60.00	$100.00	$100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.02 / $195.41 / $371.41	Facility		$94.02	$195.41	$371.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.56 / $67.39 / $84.24	Professional		$61.56	$67.39	$84.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.37 / $111.37 / $111.37	Professional		$111.37	$111.37	$111.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00