Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.03 / $8.46 / $13.33	Facility		$8.03	$8.46	$13.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $10.58 / $22.00	Professional		$10.58	$10.58	$22.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.02 / $448.38 / $794.67	Facility		$300.02	$448.38	$794.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.00 / $300.00 / $405.00	Professional		$285.00	$300.00	$405.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.44 / $204.44 / $255.55	Professional		$204.44	$204.44	$255.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $8.03 / $8.46 / $267.54	Facility		$8.03	$8.46	$267.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $267.54 / $327.60	Professional		$10.58	$267.54	$327.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00