Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.39 / $3.36 / $29.41	Facility		$1.39	$3.36	$29.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.39 / $1.73	Professional		$1.35	$1.39	$1.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $3.00 / $5.59	Facility		$1.62	$3.00	$5.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.28 / $0.39	Professional		$0.26	$0.28	$0.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $1.91	Professional		$1.35	$1.35	$1.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $3.37 / $8.35	Facility		$1.35	$3.37	$8.35
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.39 / $1.89	Professional		$1.35	$1.39	$1.89
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 $1.35 / $1.35 / $1.46	Professional		$1.35	$1.35	$1.46