Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.44 / $58.44 / $91.17	Facility		$58.44	$58.44	$91.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.91 / $58.44 / $58.44	Professional		$52.91	$58.44	$58.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.91 / $70.20 / $122.22	Facility		$49.91	$70.20	$122.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.83 / $46.14 / $48.45	Professional		$43.83	$46.14	$48.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $61.52 / $138.41	Professional		$28.07	$61.52	$138.41
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $57.88 / $58.44 / $107.38	Facility		$57.88	$58.44	$107.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $57.88 / $58.44 / $95.55	Professional		$57.88	$58.44	$95.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.94 / $56.03 / $75.00	Professional		$50.94	$56.03	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $36.90 / $61.52	Professional		$25.84	$36.90	$61.52