Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.90 / $69.90 / $69.90	Facility		$69.90	$69.90	$69.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $69.90 / $69.90	Professional		$39.89	$69.90	$69.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $105.52 / $183.40	Facility		$76.20	$105.52	$183.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.39 / $77.89 / $109.96	Professional		$25.39	$77.89	$109.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $69.34 / $69.34	Facility		$69.34	$69.34	$69.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $67.01 / $131.69	Professional		$45.22	$67.01	$131.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $44.86 / $44.86 / $69.90	Facility		$44.86	$44.86	$69.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $44.86 / $59.44 / $83.43	Professional		$44.86	$59.44	$83.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $32.82 / $45.08	Professional		$26.52	$32.82	$45.08
United Facility/Professional Facility Modifier Low / Median / High Price $482.89 / $482.89 / $482.89	Facility		$482.89	$482.89	$482.89
United Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $55.55 / $81.23	Professional		$45.05	$55.55	$81.23