Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $10.58 / $10.58	Facility		$10.58	$10.58	$10.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $10.58 / $10.58	Professional		$10.26	$10.58	$10.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.29 / $24.29 / $24.29	Facility		$24.29	$24.29	$24.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.08 / $24.29 / $24.29	Professional		$23.08	$24.29	$24.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $10.27 / $10.27	Professional		$10.27	$10.27	$10.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $10.27 / $15.00 / $29.13	Facility		$10.27	$15.00	$29.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $10.27 / $12.32	Professional		$10.27	$10.27	$12.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.24 / $15.40 / $30.00	Professional		$15.24	$15.40	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $10.27 / $10.90	Professional		$10.27	$10.27	$10.90