Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $90.00	Facility		$36.00	$36.00	$90.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $36.00 / $38.25	Professional		$36.00	$36.00	$38.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,135.68 / $1,569.33 / $2,781.35	Facility		$1,135.68	$1,569.33	$2,781.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $997.50 / $1,050.00 / $1,260.00	Professional		$997.50	$1,050.00	$1,260.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $38.25 / $38.25	Professional		$35.70	$38.25	$38.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $39.75 / $40.50 / $66.59	Facility		$39.75	$40.50	$66.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $39.75 / $47.70	Professional		$36.00	$39.75	$47.70
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 $37.50 / $37.50 / $42.00	Professional		$37.50	$37.50	$42.00