Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.66 / $30.66 / $30.66	Facility		$30.66	$30.66	$30.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.08 / $30.66 / $32.19	Professional		$21.08	$30.66	$32.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.26 / $40.26 / $40.26	Facility		$40.26	$40.26	$40.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $41.87 / $54.35	Professional		$38.25	$41.87	$54.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $32.44 / $59.06	Professional		$32.44	$32.44	$59.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $30.66	Facility		$22.91	$22.91	$30.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $23.38 / $48.31	Professional		$22.91	$23.38	$48.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $34.22 / $34.22	Professional		$34.22	$34.22	$34.22
United Facility/Professional Professional Modifier Low / Median / High Price $15.47 / $21.15 / $35.25	Professional		$15.47	$21.15	$35.25