Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.02 / $48.02 / $140.00	Facility		$48.02	$48.02	$140.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $48.02 / $56.61	Professional		$38.79	$48.02	$56.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.20 / $72.20 / $72.20	Facility		$72.20	$72.20	$72.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $72.20 / $90.26	Professional		$64.98	$72.20	$90.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $53.63 / $125.43	Professional		$43.15	$53.63	$125.43
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $48.02 / $54.87 / $54.87	Facility		$48.02	$54.87	$54.87
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $46.26 / $54.31 / $66.15	Professional		$46.26	$54.31	$66.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $33.83 / $48.51	Professional		$27.68	$33.83	$48.51
United Facility/Professional Professional Modifier Low / Median / High Price $50.93 / $61.30 / $75.87	Professional		$50.93	$61.30	$75.87