Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.50 / $36.20 / $74.15	Facility		$13.50	$36.20	$74.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.83 / $14.18 / $16.88	Professional		$12.83	$14.18	$16.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $6.60 / $6.60	Professional		$6.60	$6.60	$6.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00