Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.35 / $31.35 / $78.38	Facility		$31.35	$31.35	$78.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $31.35 / $39.04	Professional		$31.35	$31.35	$39.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.83 / $52.11 / $92.66	Facility		$37.83	$52.11	$92.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $34.97 / $41.98	Professional		$33.22	$34.97	$41.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $33.31 / $155.46	Professional		$33.31	$33.31	$155.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $31.35 / $58.00 / $81.29	Facility		$31.35	$58.00	$81.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $34.61 / $46.73	Professional		$31.35	$34.61	$46.73
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 $32.65 / $32.65 / $39.19	Professional		$32.65	$32.65	$39.19