Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $76.00 / $76.00	Facility		$76.00	$76.00	$76.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $66.95 / $76.06	Professional		$55.47	$66.95	$76.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.06 / $108.06 / $108.06	Facility		$108.06	$108.06	$108.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.66 / $113.46 / $135.08	Professional		$102.66	$113.46	$135.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.52 / $83.52 / $83.52	Facility		$83.52	$83.52	$83.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.27 / $89.11 / $231.81	Professional		$64.27	$89.11	$231.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $73.63 / $73.63 / $97.59	Facility		$73.63	$73.63	$97.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $76.00 / $99.54	Professional		$66.00	$76.00	$99.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $83.50 / $98.23	Professional		$30.00	$83.50	$98.23
United Facility/Professional Professional Modifier Low / Median / High Price $71.14 / $86.94 / $118.56	Professional		$71.14	$86.94	$118.56