Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $86.40 / $152.00	Professional		$5.00	$86.40	$152.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.43 / $575.23 / $1,646.81	Facility		$73.43	$575.23	$1,646.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $25.05 / $25.05	Professional		$25.05	$25.05	$25.05
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $152.00 / $152.00	Professional		$5.00	$152.00	$152.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00