Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Facility		$4.00	$4.00	$4.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.60 / $9.65 / $19.77	Facility		$3.60	$9.65	$19.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $3.78 / $4.50	Professional		$3.42	$3.78	$4.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $9.24 / $9.24	Professional		$9.24	$9.24	$9.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Facility		$4.00	$4.00	$4.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00