Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.59 / $83.46 / $83.46	Facility		$62.59	$83.46	$83.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $70.93 / $83.72	Professional		$57.50	$70.93	$83.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.01 / $121.01 / $121.01	Facility		$121.01	$121.01	$121.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.96 / $121.01 / $134.60	Professional		$114.96	$121.01	$134.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.44 / $103.85 / $135.72	Professional		$60.44	$103.85	$135.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $69.08 / $83.46 / $83.46	Facility		$69.08	$83.46	$83.46
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $61.24 / $71.16 / $92.61	Professional		$61.24	$71.16	$92.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.38 / $98.68 / $116.28	Professional		$92.38	$98.68	$116.28
United Facility/Professional Professional Modifier Low / Median / High Price $60.81 / $77.98 / $103.45	Professional		$60.81	$77.98	$103.45