Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.19 / $78.84 / $78.84	Facility		$54.19	$78.84	$78.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.45 / $78.84 / $80.93	Professional		$61.45	$78.84	$80.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $582.19 / $801.81 / $1,425.82	Facility		$582.19	$801.81	$1,425.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $30.88 / $41.67	Professional		$26.25	$30.88	$41.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.96 / $130.10 / $220.56	Professional		$53.96	$130.10	$220.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $54.19 / $61.26 / $78.84	Facility		$54.19	$61.26	$78.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $61.26 / $78.84 / $166.24	Professional		$61.26	$78.84	$166.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $73.21 / $119.80	Professional		$13.21	$73.21	$119.80
United Facility/Professional Professional Modifier Low / Median / High Price $92.38 / $133.66 / $182.08	Professional		$92.38	$133.66	$182.08