Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.76 / $58.76 / $58.76	Professional		$58.76	$58.76	$58.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.29 / $36.54 / $69.13	Facility		$20.29	$36.54	$69.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.88 / $16.72 / $16.72	Professional		$15.88	$16.72	$16.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.20 / $3.20	Professional		$3.20	$3.20	$3.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $8.34 / $8.34 / $8.34	Facility		$8.34	$8.34	$8.34
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $8.34 / $12.31	Professional		$8.34	$8.34	$12.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00