Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.04 / $64.95 / $103.12	Facility		$33.04	$64.95	$103.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $63.06 / $70.05	Professional		$33.04	$63.06	$70.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.94 / $140.41 / $265.61	Facility		$77.94	$140.41	$265.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $9.61 / $9.61	Professional		$9.13	$9.61	$9.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $275.60	Professional		$63.06	$63.06	$275.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $42.97 / $91.96 / $302.73	Facility		$42.97	$91.96	$302.73
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $63.06 / $75.67	Professional		$33.04	$63.06	$75.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $72.51 / $93.10	Professional		$36.90	$72.51	$93.10
United Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $70.20 / $80.73	Professional		$63.06	$70.20	$80.73