Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.12 / $34.19 / $55.55	Facility		$21.12	$34.19	$55.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $23.26 / $44.09	Professional		$16.63	$23.26	$44.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.06 / $125.14 / $245.73	Facility		$59.06	$125.14	$245.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $27.72 / $33.00	Professional		$25.08	$27.72	$33.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $35.39 / $89.69	Professional		$18.30	$35.39	$89.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $26.61 / $31.52 / $55.55	Facility		$26.61	$31.52	$55.55
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $21.12 / $33.36 / $49.86	Professional		$21.12	$33.36	$49.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $33.50 / $49.11	Professional		$26.52	$33.50	$49.11
United Facility/Professional Professional Modifier Low / Median / High Price $29.03 / $35.86 / $51.15	Professional		$29.03	$35.86	$51.15