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 $2.00 / $4.00 / $4.00	Professional		$2.00	$4.00	$4.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.79 / $6.04 / $17.11	Facility		$0.79	$6.04	$17.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $3.28 / $4.25	Professional		$2.99	$3.28	$4.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $1.33 / $1.33	Professional		$1.33	$1.33	$1.33
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 / $55.00	Professional		$30.00	$30.00	$55.00