Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.35 / $19.35 / $30.19	Facility		$19.35	$19.35	$30.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $19.35 / $19.35	Professional		$16.70	$19.35	$19.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.29 / $14.29 / $14.29	Facility		$14.29	$14.29	$14.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $14.29 / $19.29	Professional		$9.72	$14.29	$19.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $23.54 / $29.43	Professional		$3.50	$23.54	$29.43
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $6.06 / $19.35 / $35.56	Facility		$6.06	$19.35	$35.56
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $17.42 / $24.44	Professional		$6.06	$17.42	$24.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $16.86 / $22.76	Professional		$15.17	$16.86	$22.76
United Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $3.91 / $12.22	Professional		$2.79	$3.91	$12.22