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 $2.40 / $4.00 / $4.00	Professional		$2.40	$4.00	$4.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.45 / $21.71 / $41.27	Facility		$10.45	$21.71	$41.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.84 / $7.49 / $9.72	Professional		$6.84	$7.49	$9.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $1.76 / $4.25	Professional		$1.76	$1.76	$4.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $2.95 / $4.00	Facility		$2.95	$2.95	$4.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.00 / $4.00	Professional		$2.95	$3.00	$4.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $75.00 / $100.00	Professional		$4.25	$75.00	$100.00