Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $17.30 / $17.30	Facility		$17.30	$17.30	$17.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $17.30 / $18.39	Professional		$17.30	$17.30	$18.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.33 / $46.52 / $91.70	Facility		$26.33	$46.52	$91.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $18.39 / $18.39	Professional		$18.39	$18.39	$18.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $21.63 / $21.63	Facility		$17.30	$21.63	$21.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $21.63 / $25.95	Professional		$17.30	$21.63	$25.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00