Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.72 / $16.72 / $20.90	Facility		$16.72	$16.72	$20.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $15.54 / $18.50	Professional		$11.90	$15.54	$18.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $3.65 / $6.50	Facility		$2.57	$3.65	$6.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $2.54 / $3.06	Professional		$2.33	$2.54	$3.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $9.46 / $27.30	Professional		$6.20	$9.46	$27.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.77 / $16.72 / $30.72	Facility		$12.77	$16.72	$30.72
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $14.94 / $23.11	Professional		$12.09	$14.94	$23.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $8.64 / $12.72	Professional		$4.34	$8.64	$12.72