Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.08 / $74.81 / $97.56	Facility		$71.08	$74.81	$97.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $97.56 / $126.72	Professional		$21.00	$97.56	$126.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.03 / $20.30 / $35.65	Facility		$14.03	$20.30	$35.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $13.46 / $18.17	Professional		$12.79	$13.46	$18.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.78 / $62.78 / $78.48	Professional		$62.78	$62.78	$78.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $74.81 / $74.81 / $97.56	Facility		$74.81	$74.81	$97.56
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $82.35 / $87.54 / $126.71	Professional		$82.35	$87.54	$126.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00