Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $19.66 / $144.00	Professional		$0.02	$19.66	$144.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $5.89 / $5.89	Facility		$5.89	$5.89	$5.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $5.89 / $7.95	Professional		$4.01	$5.89	$7.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $32.21 / $40.27	Professional		$27.86	$32.21	$40.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $9.40	Facility		$0.02	$0.02	$9.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $9.40 / $27.71	Professional		$9.40	$9.40	$27.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $40.39	Professional		$30.00	$30.00	$40.39
United Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $14.51 / $23.94	Professional		$10.16	$14.51	$23.94