Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.92 / $32.95 / $335.74	Facility		$12.92	$32.95	$335.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.69 / $27.47 / $33.08	Professional		$12.69	$27.47	$33.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.78 / $130.49 / $248.01	Facility		$62.78	$130.49	$248.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $45.00 / $56.25	Professional		$41.11	$45.00	$56.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $22.09 / $62.81	Professional		$21.36	$22.09	$62.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.92 / $31.26 / $335.74	Facility		$12.92	$31.26	$335.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $31.26 / $51.92	Professional		$25.98	$31.26	$51.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $24.56 / $38.44	Professional		$21.36	$24.56	$38.44
United Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $16.17	Professional		$15.00	$15.00	$16.17