Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.19 / $61.19 / $95.46	Facility		$61.19	$61.19	$95.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $61.19 / $61.19	Professional		$52.82	$61.19	$61.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.60 / $72.86 / $127.97	Facility		$50.60	$72.86	$127.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.85 / $48.31 / $65.22	Professional		$32.85	$48.31	$65.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.82 / $73.93 / $92.41	Professional		$40.82	$73.93	$92.41
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $58.13 / $61.19 / $112.44	Facility		$58.13	$61.19	$112.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $58.13 / $77.29 / $90.17	Professional		$58.13	$77.29	$90.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $53.33 / $71.99	Professional		$47.99	$53.33	$71.99
United Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $64.41 / $109.48	Facility		$64.41	$64.41	$109.48
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $41.22 / $55.89	Professional		$27.05	$41.22	$55.89