Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $4.88 / $4.88	Facility		$4.88	$4.88	$4.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $4.88 / $10.00	Professional		$4.88	$4.88	$10.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $1.57 / $1.57	Facility		$1.57	$1.57	$1.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.49 / $1.65 / $1.96	Professional		$1.49	$1.65	$1.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.32 / $1.32	Professional		$1.32	$1.32	$1.32
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $4.88 / $4.88	Facility		$4.88	$4.88	$4.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $4.88 / $10.00	Professional		$4.88	$4.88	$10.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00