Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.47 / $23.47 / $66.00	Facility		$23.47	$23.47	$66.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.24 / $23.47 / $23.47	Professional		$15.24	$23.47	$23.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.86 / $69.31 / $133.93	Facility		$34.86	$69.31	$133.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $24.66 / $24.66	Professional		$23.43	$24.66	$24.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.57 / $18.53 / $20.35	Professional		$15.57	$18.53	$20.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $17.80 / $23.47	Facility		$17.80	$17.80	$23.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.24 / $21.59 / $28.89	Professional		$15.24	$21.59	$28.89
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $19.29 / $30.57	Professional		$12.30	$19.29	$30.57