Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.67 / $20.67 / $32.25	Facility		$20.67	$20.67	$32.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $20.67 / $20.67	Professional		$11.10	$20.67	$20.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.09 / $24.61 / $43.23	Facility		$17.09	$24.61	$43.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $16.32 / $22.03	Professional		$11.10	$16.32	$22.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $24.78 / $30.98	Professional		$9.22	$24.78	$30.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.97 / $20.67 / $37.97	Facility		$15.97	$20.67	$37.97
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $18.28 / $25.84	Professional		$15.97	$18.28	$25.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $18.01 / $30.00	Professional		$16.20	$18.01	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $10.06 / $13.06	Professional		$7.36	$10.06	$13.06