Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.09 / $13.09 / $13.09	Facility		$13.09	$13.09	$13.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $13.09 / $17.02	Professional		$8.27	$13.09	$17.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.20 / $115.85 / $237.27	Facility		$43.20	$115.85	$237.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.04 / $45.36 / $54.00	Professional		$41.04	$45.36	$54.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $14.57 / $25.72	Professional		$14.57	$14.57	$25.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $13.09 / $17.34 / $18.87	Facility		$13.09	$17.34	$18.87
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $17.34 / $21.67	Professional		$10.95	$17.34	$21.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $11.42 / $21.04	Professional		$7.06	$11.42	$21.04