Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.15 / $23.15 / $192.15	Facility		$23.15	$23.15	$192.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.15 / $23.15 / $84.75	Professional		$23.15	$23.15	$84.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $65.00 / $169.05	Facility		$63.00	$65.00	$169.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $128.00 / $128.00	Facility		$128.00	$128.00	$128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $50.59 / $89.06	Professional		$50.59	$50.59	$89.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $23.14 / $23.15 / $192.15	Facility		$23.14	$23.15	$192.15
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $23.15 / $23.15 / $25.92	Professional		$23.15	$23.15	$25.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00