Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $67.20 / $709.53	Facility		$67.20	$67.20	$709.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $67.20 / $71.40	Professional		$67.20	$67.20	$71.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.90 / $89.38 / $158.93	Facility		$64.90	$89.38	$158.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $60.00 / $72.00	Professional		$57.00	$60.00	$72.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $71.40 / $71.40	Professional		$71.40	$71.40	$71.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $75.59 / $637.13	Facility		$67.20	$75.59	$637.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $74.20 / $89.04	Professional		$67.20	$74.20	$89.04
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 $79.80 / $79.80 / $86.18	Professional		$79.80	$79.80	$86.18