Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $69.70 / $108.73	Facility		$69.70	$69.70	$108.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $69.70 / $69.70	Professional		$63.10	$69.70	$69.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.88 / $48.88 / $51.45	Facility		$48.88	$48.88	$51.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.88 / $51.45 / $57.23	Professional		$48.88	$51.45	$57.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $45.21 / $112.03	Professional		$33.52	$45.21	$112.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $69.70 / $128.07	Facility		$69.70	$69.70	$128.07
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $70.97 / $88.04	Professional		$69.70	$70.97	$88.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $45.26 / $75.44	Professional		$30.82	$45.26	$75.44