Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.20 / $50.20 / $92.43	Facility		$50.20	$50.20	$92.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.18 / $63.37 / $92.43	Professional		$39.18	$63.37	$92.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.75 / $170.42 / $192.83	Facility		$62.75	$170.42	$192.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.61 / $65.89 / $84.71	Professional		$59.61	$65.89	$84.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.12 / $140.54 / $346.74	Professional		$59.12	$140.54	$346.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $50.20 / $79.31 / $92.43	Facility		$50.20	$79.31	$92.43
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $41.70 / $78.81 / $92.43	Professional		$41.70	$78.81	$92.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $67.28 / $96.01	Professional		$54.60	$67.28	$96.01
United Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $90.11 / $123.26	Professional		$77.81	$90.11	$123.26