Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.78 / $11.43 / $24.00	Facility		$8.78	$11.43	$24.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $8.78 / $9.34	Professional		$8.78	$8.78	$9.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.05 / $4.09	Facility		$0.02	$0.05	$4.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $16.80 / $16.80	Professional		$16.80	$16.80	$16.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $9.34 / $13.12	Professional		$9.34	$9.34	$13.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $9.71 / $15.38 / $24.46	Facility		$9.71	$15.38	$24.46
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $9.71 / $11.65	Professional		$8.78	$9.71	$11.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $75.00 / $100.00	Professional		$30.00	$75.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $9.16 / $9.72	Professional		$9.16	$9.16	$9.72