Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.33 / $12.33 / $12.33	Facility		$12.33	$12.33	$12.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $12.33 / $18.48	Professional		$9.40	$12.33	$18.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.49 / $48.82 / $92.80	Facility		$23.49	$48.82	$92.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $16.84 / $21.86	Professional		$15.38	$16.84	$21.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $6.60 / $30.64	Professional		$6.60	$6.60	$30.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $11.03 / $11.03 / $12.33	Facility		$11.03	$11.03	$12.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $11.03 / $20.23	Professional		$11.03	$11.03	$20.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $10.92 / $17.10	Professional		$9.50	$10.92	$17.10
United Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $7.74 / $11.44	Professional		$5.72	$7.74	$11.44