Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $26.98 / $120.81	Facility		$10.00	$26.98	$120.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $11.00 / $36.97	Professional		$9.75	$11.00	$36.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.77 / $51.69 / $97.79	Facility		$29.77	$51.69	$97.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $21.00 / $22.11	Professional		$21.00	$21.00	$22.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $26.94	Professional		$26.94	$26.94	$26.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $10.17 / $25.22 / $120.81	Facility		$10.17	$25.22	$120.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $23.49 / $34.75	Professional		$10.00	$23.49	$34.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.48 / $26.48 / $34.54	Professional		$26.48	$26.48	$34.54
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $22.04 / $33.02	Professional		$13.00	$22.04	$33.02