Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $123.00 / $123.00	Facility		$123.00	$123.00	$123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $123.00 / $130.69	Professional		$123.00	$123.00	$130.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $4.09 / $4.09	Facility		$4.09	$4.09	$4.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Professional		$130.69	$130.69	$130.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $123.00 / $123.00	Facility		$123.00	$123.00	$123.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $123.00 / $130.69	Professional		$123.00	$123.00	$130.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $128.13 / $135.94	Professional		$128.13	$128.13	$135.94