Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.12 / $13.47 / $21.01	Facility		$12.12	$13.47	$21.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $13.47 / $14.18	Professional		$11.63	$13.47	$14.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.14 / $16.05 / $28.18	Facility		$11.14	$16.05	$28.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.64 / $14.36	Professional		$7.24	$10.64	$14.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.66 / $16.52 / $20.65	Professional		$10.66	$16.52	$20.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.63 / $13.47 / $24.75	Facility		$12.63	$13.47	$24.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $17.01 / $19.85	Professional		$12.32	$17.01	$19.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $11.74 / $15.84	Professional		$10.56	$11.74	$15.84
United Facility/Professional Professional Modifier Low / Median / High Price $5.96 / $11.35 / $12.03	Professional		$5.96	$11.35	$12.03