Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.19 / $26.12 / $37.36	Facility		$25.19	$26.12	$37.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $26.40 / $37.36	Professional		$16.86	$26.40	$37.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.22 / $48.78 / $86.75	Facility		$35.22	$48.78	$86.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $7.40 / $30.46	Professional		$5.21	$7.40	$30.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $31.73 / $55.86	Professional		$15.07	$31.73	$55.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $25.19 / $28.42 / $36.02	Facility		$25.19	$28.42	$36.02
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $28.42 / $38.85	Professional		$25.19	$28.42	$38.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.88 / $37.04 / $47.72	Professional		$29.88	$37.04	$47.72