Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $15.97 / $51.15	Professional		$12.00	$15.97	$51.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.28 / $75.39 / $143.29	Facility		$36.28	$75.39	$143.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $26.00 / $32.50	Professional		$23.75	$26.00	$32.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $8.96 / $22.00	Professional		$8.96	$8.96	$22.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $42.75 / $76.50	Professional		$13.38	$42.75	$76.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00