Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Facility		$0.15	$0.15	$0.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.15 / $0.15	Professional		$0.09	$0.15	$0.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.17 / $0.39 / $0.95	Facility		$0.17	$0.39	$0.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.13 / $0.18	Professional		$0.12	$0.13	$0.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.38 / $0.48	Professional		$0.28	$0.38	$0.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $4.38 / $4.38	Facility		$0.15	$4.38	$4.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $4.38 / $8.25	Professional		$0.15	$4.38	$8.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $0.42 / $55.00	Professional		$0.42	$0.42	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.22 / $0.39	Professional		$0.14	$0.22	$0.39