Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.42 / $45.42 / $122.88	Facility		$45.42	$45.42	$122.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.83 / $37.77 / $45.42	Professional		$34.83	$37.77	$45.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.33 / $65.27 / $114.64	Facility		$45.33	$65.27	$114.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.43 / $43.28 / $58.43	Professional		$29.43	$43.28	$58.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.21 / $54.93 / $68.66	Professional		$34.21	$54.93	$68.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $45.42 / $45.42 / $120.18	Facility		$45.42	$45.42	$120.18
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $45.42 / $57.37	Professional		$36.04	$45.42	$57.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.63 / $39.59 / $53.44	Professional		$35.63	$39.59	$53.44
United Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $28.69 / $40.00	Professional		$20.07	$28.69	$40.00