Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.14 / $70.14 / $70.14	Facility		$70.14	$70.14	$70.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.84 / $70.14 / $76.15	Professional		$55.84	$70.14	$76.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.71 / $358.95 / $682.24	Facility		$172.71	$358.95	$682.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.08 / $123.79 / $154.74	Professional		$113.08	$123.79	$154.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $47.79 / $112.97	Professional		$47.79	$47.79	$112.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $70.14 / $84.08 / $84.08	Facility		$70.14	$84.08	$84.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $70.14 / $84.08 / $98.37	Professional		$70.14	$84.08	$98.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $75.00 / $101.18	Professional		$30.00	$75.00	$101.18
United Facility/Professional Professional Modifier Low / Median / High Price $42.06 / $55.89 / $89.45	Professional		$42.06	$55.89	$89.45