Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Facility		$70.00	$70.00	$70.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $70.00 / $70.00	Professional		$42.00	$70.00	$70.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.76 / $399.53 / $752.69	Facility		$198.76	$399.53	$752.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $387.66	Professional		$51.00	$51.00	$387.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $39.40 / $39.40 / $70.00	Facility		$39.40	$39.40	$70.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $39.40 / $70.00	Professional		$39.40	$39.40	$70.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00