Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.10 / $17.10 / $17.10	Facility		$17.10	$17.10	$17.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $17.10 / $17.10	Professional		$17.10	$17.10	$17.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.00 / $137.54 / $265.73	Facility		$71.00	$137.54	$265.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.46 / $48.04 / $57.19	Professional		$43.46	$48.04	$57.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $39.60 / $39.60	Professional		$39.60	$39.60	$39.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.10 / $58.82 / $58.82	Facility		$17.10	$58.82	$58.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $58.82 / $72.02	Professional		$17.10	$58.82	$72.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00