Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.53 / $14.53 / $79.16	Facility		$14.53	$14.53	$79.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $14.53 / $19.80	Professional		$12.54	$14.53	$19.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $55.80 / $98.01	Facility		$38.75	$55.80	$98.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $37.00 / $49.95	Professional		$25.16	$37.00	$49.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $16.73 / $21.68	Professional		$11.58	$16.73	$21.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $7.44 / $14.53 / $26.70	Facility		$7.44	$14.53	$26.70
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $14.53 / $21.56	Professional		$7.44	$14.53	$21.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $12.66 / $17.09	Professional		$11.39	$12.66	$17.09
United Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $7.91 / $15.29	Professional		$4.68	$7.91	$15.29