Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.82 / $687.97 / $5,258.68	Facility		$8.82	$687.97	$5,258.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $8.40 / $21.13	Professional		$6.43	$8.40	$21.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.87 / $31.10 / $55.31	Facility		$21.87	$31.10	$55.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $21.72 / $26.10	Professional		$19.84	$21.72	$26.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.35 / $9.35	Professional		$9.35	$9.35	$9.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $2,919.38 / $10,517.36	Facility		$11.00	$2,919.38	$10,517.36
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $11.00 / $14.03	Professional		$8.40	$11.00	$14.03
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 $4.57 / $7.00 / $9.66	Professional		$4.57	$7.00	$9.66