Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.57 / $53.54 / $121.53	Facility		$30.57	$53.54	$121.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $32.09 / $53.31	Professional		$30.57	$32.09	$53.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.52 / $65.81 / $124.45	Facility		$36.52	$65.81	$124.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.60 / $28.60 / $30.10	Professional		$28.60	$28.60	$30.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $33.71 / $33.71	Professional		$28.13	$33.71	$33.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $30.57 / $35.97 / $121.53	Facility		$30.57	$35.97	$121.53
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $32.28 / $48.00	Professional		$30.57	$32.28	$48.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $39.29 / $39.29	Professional		$39.29	$39.29	$39.29
United Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $38.61 / $42.24	Professional		$34.17	$38.61	$42.24