Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.50 / $66.75 / $340.17	Facility		$44.50	$66.75	$340.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $44.50 / $44.50	Professional		$34.72	$44.50	$44.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.13 / $95.20 / $169.29	Facility		$69.13	$95.20	$169.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.77 / $59.76 / $71.70	Professional		$56.77	$59.76	$71.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $62.53 / $98.30	Professional		$38.47	$62.53	$98.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $33.96 / $82.33 / $310.72	Facility		$33.96	$82.33	$310.72
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $40.26 / $66.75	Professional		$33.96	$40.26	$66.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $32.40 / $42.74	Professional		$26.94	$32.40	$42.74
United Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $44.99 / $60.61	Professional		$39.61	$44.99	$60.61