Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.58 / $47.58 / $47.95	Facility		$47.58	$47.58	$47.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.45 / $47.58 / $47.95	Professional		$38.45	$47.58	$47.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.45 / $106.78 / $296.67	Facility		$75.45	$106.78	$296.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.77 / $62.75 / $80.68	Professional		$56.77	$62.75	$80.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.15 / $65.15 / $65.15	Facility		$65.15	$65.15	$65.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $56.69 / $113.35	Professional		$39.61	$56.69	$113.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $40.92 / $40.92 / $47.95	Facility		$40.92	$40.92	$47.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $46.85 / $67.81	Professional		$39.97	$46.85	$67.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $33.67 / $49.19	Professional		$27.68	$33.67	$49.19
United Facility/Professional Professional Modifier Low / Median / High Price $40.45 / $48.85 / $70.20	Professional		$40.45	$48.85	$70.20