Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.23 / $24.69 / $64.36	Facility		$6.23	$24.69	$64.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.23 / $6.72 / $15.49	Professional		$6.23	$6.72	$15.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.07 / $19.94 / $37.71	Facility		$11.07	$19.94	$37.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $8.66 / $9.11	Professional		$8.66	$8.66	$9.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $11.78	Professional		$6.05	$6.05	$11.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $25.60 / $61.95	Facility		$6.05	$25.60	$61.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.23 / $13.18	Professional		$6.05	$6.23	$13.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $14.45 / $14.72	Professional		$6.95	$14.45	$14.72
United Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $6.42	Professional		$6.05	$6.05	$6.42