Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $4.40 / $4.40	Facility		$4.40	$4.40	$4.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $4.40 / $6.56	Professional		$4.40	$4.40	$6.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $2.41 / $4.94	Facility		$0.90	$2.41	$4.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.86 / $0.95 / $1.12	Professional		$0.86	$0.95	$1.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $2.64 / $2.64	Professional		$2.64	$2.64	$2.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $4.40 / $4.40	Facility		$4.40	$4.40	$4.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $4.40 / $6.56	Professional		$4.40	$4.40	$6.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00