Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $20.56	Facility		$13.18	$13.18	$20.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $13.18 / $13.18	Professional		$11.37	$13.18	$13.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.07 / $15.69 / $27.55	Facility		$11.07	$15.69	$27.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.07 / $10.40 / $14.04	Professional		$7.07	$10.40	$14.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.66 / $16.11 / $20.13	Professional		$10.66	$16.11	$20.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.52 / $13.18 / $24.22	Facility		$12.52	$13.18	$24.22
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.64 / $20.56	Professional		$13.18	$16.64	$20.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $11.48 / $15.49	Professional		$10.33	$11.48	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $11.35 / $12.03	Professional		$5.83	$11.35	$12.03