Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.25 / $1.25 / $1.25	Facility		$1.25	$1.25	$1.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.25 / $1.25 / $1.25	Professional		$1.25	$1.25	$1.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $9.00 / $9.00	Facility		$9.00	$9.00	$9.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $9.44 / $11.25	Professional		$8.55	$9.44	$11.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $17.00 / $17.00	Professional		$17.00	$17.00	$17.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1.25 / $1.25 / $1.25	Facility		$1.25	$1.25	$1.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.25 / $1.25 / $1.25	Professional		$1.25	$1.25	$1.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00