Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Facility		$40.00	$40.00	$40.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $40.00 / $40.00	Professional		$24.00	$40.00	$40.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.00 / $461.39 / $876.95	Facility		$222.00	$461.39	$876.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.35 / $159.12 / $198.90	Professional		$145.35	$159.12	$198.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $139.72 / $634.69	Professional		$139.72	$139.72	$634.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $30.66 / $30.66 / $40.00	Facility		$30.66	$30.66	$40.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $30.66 / $34.33 / $57.75	Professional		$30.66	$34.33	$57.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00