Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $39.00 / $53.00	Professional		$30.00	$39.00	$53.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.67 / $109.29 / $206.73	Facility		$60.67	$109.29	$206.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $50.00 / $50.00	Professional		$47.50	$50.00	$50.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.10 / $39.10 / $39.10	Facility		$39.10	$39.10	$39.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $31.89 / $39.10	Professional		$31.89	$31.89	$39.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $35.50 / $35.50 / $35.50	Facility		$35.50	$35.50	$35.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $35.50 / $42.60	Professional		$35.50	$35.50	$42.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $44.36 / $44.36	Professional		$44.36	$44.36	$44.36
United Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $36.40 / $49.77	Professional		$30.98	$36.40	$49.77