Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.68 / $17.68 / $17.68	Facility		$17.68	$17.68	$17.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $17.68 / $39.72	Professional		$12.58	$17.68	$39.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.34 / $35.34 / $35.34	Facility		$35.34	$35.34	$35.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $36.70 / $44.04	Professional		$29.36	$36.70	$44.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $20.88 / $20.88	Facility		$20.88	$20.88	$20.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $12.50 / $19.50	Professional		$9.92	$12.50	$19.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.68 / $174.99 / $174.99	Facility		$17.68	$174.99	$174.99
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $174.99 / $211.73	Professional		$17.68	$174.99	$211.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $41.16 / $60.51	Professional		$31.39	$41.16	$60.51