Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.40 / $46.40 / $46.40	Facility		$46.40	$46.40	$46.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.67 / $54.00 / $102.92	Professional		$32.67	$54.00	$102.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.75 / $103.75 / $103.75	Facility		$103.75	$103.75	$103.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.32 / $108.94 / $129.69	Professional		$94.32	$108.94	$129.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $27.62 / $27.62	Professional		$21.97	$27.62	$27.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $46.40 / $248.92 / $263.56	Facility		$46.40	$248.92	$263.56
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $46.40 / $248.92 / $310.83	Professional		$46.40	$248.92	$310.83
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 $87.43 / $258.64 / $344.85	Professional		$87.43	$258.64	$344.85