Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.75 / $68.76 / $622.50	Facility		$28.75	$68.76	$622.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $53.60 / $85.06	Professional		$22.91	$53.60	$85.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.73 / $207.22 / $404.90	Facility		$98.73	$207.22	$404.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $38.84 / $52.43	Professional		$29.16	$38.84	$52.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $68.63 / $130.88	Professional		$23.95	$68.63	$130.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $28.75 / $74.03 / $622.50	Facility		$28.75	$74.03	$622.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $68.76 / $96.31	Professional		$28.75	$68.76	$96.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $67.46 / $94.42	Professional		$54.30	$67.46	$94.42
United Facility/Professional Professional Modifier Low / Median / High Price $71.03 / $83.37 / $121.32	Professional		$71.03	$83.37	$121.32