Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Facility		$5.00	$5.00	$5.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.80 / $1.80 / $1.80	Facility		$1.80	$1.80	$1.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.89 / $2.25	Professional		$1.71	$1.89	$2.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.20 / $46.20 / $46.20	Professional		$46.20	$46.20	$46.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Facility		$5.00	$5.00	$5.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00