Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.93 / $25.93 / $40.45	Facility		$25.93	$25.93	$40.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $25.93 / $25.93	Professional		$23.47	$25.93	$25.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.27 / $31.14 / $54.22	Facility		$22.27	$31.14	$54.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.45 / $20.47 / $21.90	Professional		$19.45	$20.47	$21.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $25.68 / $61.40	Professional		$12.55	$25.68	$61.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $24.63 / $25.93 / $47.65	Facility		$24.63	$25.93	$47.65
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $26.70 / $36.84	Professional		$24.56	$26.70	$36.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $24.86 / $40.68	Professional		$22.60	$24.86	$40.68
United Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $16.51 / $28.22	Professional		$11.46	$16.51	$28.22