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 $2.25 / $6.03 / $12.36	Facility		$2.25	$6.03	$12.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.36 / $2.81	Professional		$2.14	$2.36	$2.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.72 / $1.72 / $1.72	Professional		$1.72	$1.72	$1.72
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