Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.72 / $75.02 / $2,056.00	Facility		$33.72	$75.02	$2,056.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $44.47 / $86.34	Professional		$29.33	$44.47	$86.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.25 / $144.81 / $196.20	Facility		$124.25	$144.81	$196.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $33.32 / $61.24	Professional		$6.61	$33.32	$61.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.72 / $50.70 / $141.00	Professional		$31.72	$50.70	$141.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $34.33 / $106.71 / $2,056.00	Facility		$34.33	$106.71	$2,056.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $52.00 / $79.17	Professional		$33.72	$52.00	$79.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $33.62 / $47.36	Professional		$27.09	$33.62	$47.36
United Facility/Professional Facility Modifier Low / Median / High Price $173.47 / $1,205.00 / $2,029.00	Facility		$173.47	$1,205.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.16 / $54.86 / $69.56	Professional		$45.16	$54.86	$69.56