Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $21.87 / $120.07	Facility		$20.83	$21.87	$120.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $20.83 / $29.28	Professional		$20.83	$20.83	$29.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $72.45 / $72.45	Facility		$63.00	$72.45	$72.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $76.08 / $90.57	Professional		$68.84	$76.08	$90.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.50 / $53.50 / $65.00	Facility		$53.50	$53.50	$65.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $64.08 / $120.07	Facility		$20.83	$64.08	$120.07
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $20.83 / $64.08	Professional		$20.83	$20.83	$64.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00